This Ecg was taken from a 70 year old indian female who has no known past medical history. she was found unconcious in her house by her grandchildren and was rushed to the hospital .. ECG in A&E showed deep T waves in all LEADS .... suggesting a wide infarct.. She was admitted to the CCu .... Ck/CKMB was marginally raised. she was started on S/C Clexane and Asprin and PLAvix.. No family members were around since time of admission.... there was no way to confirm or ask the premorbid status of this patient . Troponin T was taken twice both times tested negative.... patient was showing symptoms of dementia orientated to name but nothing else spoke with confusion.... she continued to be drowsy ...FInally after 3 days we managed to contact a family member and found that the patient was actually alert and very independant prior to this episode..... Prompting a CT scan of the brain sure enough there was a LARGE MCA infarct... Brain infarct also can have raised CK/CKMB as well as deep T inversion in all leads....