ST-Elivation (Prolonged Progressive PR)

Consider Differential DIagnosis for Prolonged (Progressive) P-R interval:

2nd-degree heart block.

Symptomatic? ?A&E

Non-Symptomatic? Pt aware? Inform GP if not

Is there ST Elivation?

Yes (1mm in all leads except V2-V3, 2mm in V2-V3)