This finding indicates the presence of abnormal electrical forces in the anterior wall of the left ventricle. It suggests that the patient may have experienced a previous myocardial infarction (heart attack) in the past, or rarely, that they are currently experiencing an evolving infarct that does not meet full STEMI criteria. Clinical correlation (patient history, troponin levels, and imaging) is required to determine the age of the infarct.
If the heart muscle has thickened (often due to long-term high blood pressure), the electrical signals take longer to travel, which can confuse the computer algorithm. cannot rule out anterior infarct
Note: Normally, $V_1$ may have a QS complex and $V_2$ may have a small q wave. These are considered pathological only if the Q wave is wide ($>0.04\texts$) or if the QS pattern extends to $V_3$ or $V_4$. This finding indicates the presence of abnormal electrical