Initial ECG showed ST elevations in the inferior leads with ST depressions in V1-V4.
 the patient is having an STEMI
(ROOT (S (NP (JJ Initial) (NN ECG)) (VP (VBD showed) (NP (NP (JJ ST) (NNS elevations)) (PP (IN in) (NP (NP (DT the) (JJ inferior) (NNS leads)) (PP (IN with) (NP (NP (JJ ST) (NNS depressions)) (PP (IN in) (NP (NN V1-V4))))))))) (. .)))
(ROOT (S (NP (DT the) (NN patient)) (VP (VBZ is) (VP (VBG having) (NP (DT an) (NN STEMI))))))
( ( Initial ECG ) ( ( showed ( ( ST elevations ) ( in ( ( the ( inferior leads ) ) ( with ( ( ST depressions ) ( in V1-V4 ) ) ) ) ) ) ) . ) )
( ( the patient ) ( is ( having ( an STEMI ) ) ) )