ECG of the Month: A Young Woman with Anterior and Inferior Infarction on an ECG

A 32-year-old woman has an electrocardiogram (ECG) as part of a workup for epigastric burning and reflux symptoms, which she has been experiencing for one year. The ECG (Figure 1) demonstrates T wave changes and Q waves suggestive of anterior and inferior infarct, as well as left ventricular hypertrophy and left atrial abnormality. She denies any history of cardiac disease and has no history of hypertension. She is on no medications other than oral contraceptives. She denied chest pain, shortness of breath, dyspnea, and walks 15 minutes per day without difficulty.

Figure 1

Figure 1

After reviewing the ECG (Figure 1), which of the following do you conclude?

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