Computer and transferring physician say " normal. " What do you think?

Conclusion  — I did not know for certain if the T wave inversion in lead aVL of ECG #1 was abnormal — but it could be!Also as noted by Dr. Smith — the T wave in lead V2 is inverted. While the T wave may normally be inverted in lead V1 in adults — most of the time, the T wave should not be inverted in lead V2. Adding to my suspicion that this was indeed an abnormal finding is the distinct ST segment straightening in lead V2, that continues on in lead V3.Finally — there are the subtle findings in the inferior leads. I was not as concerned by the slight-but-real upsloping ST elevation in each of these leads. But I wondered (after more than a few looks) if those peaked T waves in leads III and aVF might not be a little bit taller-than-expected given R wave amplitude in these leads ...BOTTOM Line Regarding ECG #1: If this tracing had appeared in my “daily stack” during the 30 years that I routinely read all out-patient tracings for our 35 medical providers — I would not have thought twice about saying, “Changes do not appear to be acute”. But that is not the clinical scenario that occurred in this case.All of the above findings are subtle! But taken together in the context of a patient presenting with new-onset “crushing” chest pain — I was concerned about a few potentially hyperacute T waves&...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs