This case was flagged as a false positive cath lab activation. Why? And do you agree?

Conclusions/Summary " Indication: Chest pain with dynamic EKG changes concerning for ACS "--CAD with moderate stenosis of ostial left main.--CAD with long segment of serial stenosis of proximal to mid LAD.--Successful PCI of proximal to mid LAD with placement of 3.5 x 38 and 3.5 xLAD: Large caliber vessel.There is a long segment of serial 50-80% stenosis noted in the mid portion of the vessel. The LAD is severely tortuous and there is large caliber diagonal after an acute bend in the mid vessel. The distal and apical segments are without significant stenosis. Lesion on Mid LAD was stented in a complicated procedure. EchoEstimated LV ejection fraction-lower limits of normal; 54%.Regional wall motion abnormality-septum, hypokinesis.Left ventricular hypertrophy, concentric-mild.This is the interesting note, and the reason this was flagged as a false positive activation:" This is an 8X-year-old gentleman with past medical history significant for hypertension and hyperlipidemia who presents as a prehospital Cath Lab activation for anterior ST elevation myocardial infarction. Subsequent prehospital EKG showed dynamic changes with improvement in ST elevation following aspirin and nitroglycerin. Inferior ST depression and sub-millimeter ST elevation in the high lateral leads associated with small Q waves persisted. " His EKG on arrival did not demonstrate ST elevation. Due to his persistent chest pain and high risk EKG features he was...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs