ST elevation in many leads (usually 1-2mm in height) but it has a fish hook appearance (could be very small)
Look particularly in leads V2, V3, V4 and V5. The fish hook appearance off the QRS is most noticeable in these leads
A normal benign variation that has no clinical significance
It usually occurs in people less than 50 yrs old (if seen in older patients, investigate for AMI due to the risk factors of that age population).
Remember the happy, sad, straight face? This is the happy ST elevation
Signs best seen in V4. It is most noticeable here because the lover V leads focus more on the ventricles than the other leads. The waveforms will look larger = able to pick out anomalies with depolarization and repolarization more easily.