Finding in this EKG:

1-hyperacute T wave>> symmetrical (symmetrical can be high k or MI) symmetrical T>> mostly pathological (high k or MI) and non symmetrical argue against pathology.

2-Dewinter sign as on v4,5.?v6. >> LAD disease

3-short QTc>> ischemia>> hypoxia>> shutdown of Na-k ATPase>> building up of intracellular Na>> exchange of intracellular Na with extracellular Ca++>> high inteacellular Ca++>> short Qtc.

short Qtc makes ischemia more likely which is the main reason why I felt I should post this EKG for discussion..

What do you think Dr Fathi?