Our expert today is Dr. Ken Grauer, M.D., a frequent contributer to the ECG Guru.

KEN GRAUER, MD is Professor Emeritus (Dept. Community Health/Family Medicine, College of Medicine, University of Florida in Gainesville).
Dr. Grauer has been a leading family physician educator for over 30 years. During that time he has published (as principal author) more than 10 books and numerous study aids on the topics of ECG interpretation, cardiac arrhythmias, and ACLS (including an ongoing Educational ECG Blog).

Answer:

For my answer, please check out my FULL REVIEW on assessing ST Elevation from Early Repol vs Acute MI - GO TO: https://www.kg-ekgpress.com/ecg_-_early_repolarization/

FOR ECG SHOWN HERE:    Early Repol - OR - Anterior STEMI? The ANSWER in ECG BLOG #47 (http://ecg-interpretation.blogspot.com/2012/07/ecg-interpretation-review-47-normal.html ).