Differential Diagnoses: new right axis deviation and ST segment elevation

ECG Weekly Workout with Dr. Amal Mattu


A 27-year-old male with no PMHx is brought in by ambulance for right shoulder pain, nausea, and generalized weakness. He is confused with a blood pressure of 60/40. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. What is your differential for the various causes of ST segment elevation?
  3. What is the most likely diagnosis?