Can I please get guidance with these ECGs?

A case Study

Dear Fellow medical students,

I would like some help reading these ECG: they are for a 62 yrs old male patient with high blood pressure, high choletrol and COPD. he gets chest pain and pain down his left shoulder when he does activities and the pain stops when he stops exertion.

the first one is resting ecg:

the second ecg is recorded during exercise testing . the patient had central chest pain and had to stop.

what are key feature can you pick from the resting ECG?

for the exercise ECg, i am suspecting acute lateral myocardial ischemia.Can you please confirm ?

Thank you

Source: Doc2Doc BMJ Cardiology - January 23, 2014 Category: Cardiology Authors: nazek Source Type: forums