The rest of his exam is normal. His ECG is below. The ECG shows a downsloping ST segment depression in multiple leads that are shaped like the "reverse check mark sign" or a "scooped out" appearance.

This ECG shows dramatic ST depression that is downsloping consistent with ischemia. The changes are quite pronounced. Classically it has been taught that ST segment elevation in lead aVR greater ...

ST depression, pathological Q-waves, left axis deviation and conduction delays and findings suggestive or diagnostic of primary electrical diseases such as long QT syndrome and Wolff-Parkinson-White ...