Acute chest pain and a difficult ECG

Conclusion: Whereas I did not feel we could rule out an OMI from the initial tracing shown in Figure-1  — none of the subsequent tracings in today ' s case were suggestive of an acute event. I suspect that IF the initial ECG would have beenimmediately repeated withaccurate chest lead electrode placement — that there maynot have been any need for concern about a possible acute event from the initial ECG.Learning Point: When clinical decision-making hangs in the balance and you strongly suspect an error in lead placement — it is best toimmediately repeat the ECG — after correct lead placement is verified. Sometimes, you may need to verify correct placementyourself. I know of no other way to ensure accurate interpretation of the ECG in question.
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs