Differential Diagnoses: over 15 causes of ST segment elevation…there is much more than STEMI

ECG Weekly Workout with Dr. Amal Mattu


A 78-year-old woman with Alzheimer’s disease presents to the ED with dehydration and failure to thrive. She denies pain, diaphoresis, or dyspnea. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. What are some of the various causes of ST-segment elevation? (Hint: there are > 15!)