older male c/c 8/10 epigastric pain and SOB. Hx of heavy smo | Figure 1

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older male c/c 8/10 epigastric pain and SOB. Hx of heavy smoking and COPD. Pt continued to follow this pattern of alternating QRS polarities and morphologies throughout duration of care. 12 lead showed possible septal infarct of unknown age however no notable ST elevation was present. Wondering if anyone has an explanation for this phenomenon.. @electrocardiography


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