There is a regular rhythm at a rate of 70 bpm. There is a P wave (+) before each QRS complex with a constant PR interval (0.18 sec). The P wave is positive in leads I, II, aVF, and V4-V6. Hence this is a sinus rhythm.
The QRS complex duration is normal (0.08 sec) and the axis is normal, between 0° and +90° (positive QRS complex in leads I and aVF). The QT/QTc intervals are normal (400/430 msec).
There is ST-segment elevation (↓) in leads V2-V4, and the T waves are big and symmetric (*) (hyperacute T waves). This is thus an acute anterior wall myocardial infarction.