What do you think the appropriate diagnosis ?

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Sherif Sultan

I think it is an anteroseptal ischemia

Faiza Farooq

Early repolarization.

Mustafa Mahmood Eid

You are right Faiza Farooq

There is benign early repolarization.

The Echo was done and its normal. Serial troponin was also negative.

Thank you all for participation

Muhammad Yousuf

Also notable are tall and tented T waves in V2-V5, that may be suggestive of hyperkalemia.