"Inferior" ST depression: What is the diagnosis?

This 58 year old man presented at noon with chest pain that began the previous evening and became constant less than one hour prior. 

Now there is still sinus rhythm but with 2 PVCs.  There is subtle ST depression in "inferior" leads II and aVF. This should always alert to ST elevation in the opposite, high lateral, leads especially aVL.  Looking at aVL, there is indeed subtle ST elevation and also in lead I.Here is the previous ECG for comparisonThis baseline ECG is normal

Subendocardial ischemia may have ST segment depression, but it does not reliably localized to any wall.  "Inferior" ST depression is really reciprocal to high lateral ST elevation.