Consider: Anterior Infarct

Never dismiss the phrase “consider anterior infarct” without action. In the acute setting, it may represent a STEMI equivalent requiring emergent reperfusion. In the chronic setting, it confirms prior cardiac injury, guiding secondary prevention (aspirin, statin, beta-blocker, ACE inhibitor).

An anterior infarct, also known as an anterior myocardial infarction (MI), is a type of heart attack that occurs when the blood flow to the front of the heart is blocked. This can lead to damage or death of the heart muscle, which can have serious consequences if not treated promptly. consider anterior infarct

“Sinus rhythm at 72 bpm. Pathologic Q waves in V2–V4 with poor R-wave progression. No acute ST-segment elevation. – correlate clinically and with prior ECG if available.” An anterior infarct, also known as an anterior

Often the earliest sign of an acute blockage, indicating that heart muscle is currently being injured. Pathologic Q waves in V2–V4 with poor R-wave progression