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The anteroseptal STEMI ECG example below is good enough to ... This MI involves ST segment elevation in the inferior leads II, III and aVF and only requires 1 mm in 2 contiguous leads.
Note that the first three account for almost 90% of ECG tracings with LAD. If the QRS is predominantly negative in lead I and positive in lead aVF, then the axis is rightward (right axis deviation).