Differential Diagnoses: diffuse ST segment elevation without reciprocal ST segment depression

ECG Weekly Workout with Dr. Amal Mattu


HPI

An 18-year-old female with no known significant past medical history presents to the ED for acute chest pain. The following ECG is obtained:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you see?
  2. What is your differential diagnosis for diffuse ST segment elevation without reciprocal changes?
  3. What is the most likely diagnosis, and do you think emergent cath lab activation is indicated?