An 18-year-old male from Thailand presents with a history
of syncope. No other symptoms, no significant past medical history. He does
not smoke or drink and does not abuse drugs. There are no abnormalities
detectable on clinical examination.
His ECG shows right bundle branch block with J point
elevation and concave ST elevation in leads V1-V3.
The diagnosis is:
Antero-septal myocardial infarction
Treatment should be with:
Implantable cardioverter defibrillator
High dose steroids
Repair of the aneurysm