ST Elevations in Multiple Leads

 

70 yo c/o CP. 

What is the interpretation? 

1. STEMI
2. EMA artifacts
3. Myopericarditis
4. Spike-helmet ECG

STEMI-ST elevation myocardial infarction

EMA - electromechanical association

There are ST elevations in leads :

II, III aVF 

I

V2-V6

This ECG pattern can be seen anterior wall STEMI with wraparound LAD.