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51 yr old male with no prior cardiac history presents with mid-sternal chest discomfort.

Vent. rate 58 bpm
PR interval 152ms
QSR duration 88ms
QT/QTc 426/418ms
P-R-T axes 70 71 34

Questions For Thought

1. Is there ECG evidence of injury or ischemia?
2. Is this patient having an MI? If so, in what anatomic distribution?

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