Anterior ST elevation occurs in leads V3 and V4. It can be difficult to distinguish normal variant ST elevation in these leads from coronary occlusion.
See also: ST segment
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- Dr Smith's ECG Blog (2019) - Acute Chest pain in a 50-something and a "Normal" ECG, (Accessed: 24/08/2019)
This ECG is from a man in his 50s who presented with intermittent epigastric burning pain for 4 days that had become constant that morning.
This ECG shows ST elevation in aVL, I and V2-4 with reciprocal ST depression inferiorly. POCUS showed severe hypokinesis of the anterior wall. The cause was a large anterior MI.