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Elderly and Diabetics - inc risk of silent MI

''Acute MI''
Hyperacute T waves are early sign but may be very transient
Then ST elevation
T wave invertion within 24 hours, last for days (months)
Pathological Q waves develop within hours to days and may persist indefinately

new ST elevation in two contiguous leads with cut-off -
V2-V3 - >=0.2 mV in men or >= 0.15 mV in women 
other leads -  >= 0.1 mV