The ECG shows ST elevation (STE) across the precordium, highest in V2 and V3. There are only minimal R waves in those leads [in fact, such tiny R-waves are technically considered Q-waves, and thus the patient has "QS"-waves (deep Q-waves without any R-wave at all], with markedly deep S waves. ... Persistent STE after prior MI (also known as "left ventricular aneurysm morphology") #Clinical #EM #Cardiology #EKG #Aneurysm #LVAneurysm