Differential Diagnoses: ST segment elevation and short QTc intervals in a patient with generalized weakness

ECG Weekly Workout with Dr. Amal Mattu


A 45-year-old female presents to the ED with generalized weakness, malaise, joint pains, and confusion. The following ECG was obtained:

Before watching the video, look closely at this ECG and ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What is your differential diagnosis for the ST-segment elevation seen?
  3. Would you activate the cath lab?