Differential Diagnoses: ST segment elevation in a patient with altered mental status, a stepwise approach

ECG Weekly Workout with Dr. Amal Mattu

HPI

A 60-year-old man with PMHx of pancreatic cancer and prior cerebrovascular accidents presents to the ED with altered mental status. Family is concerned that his symptoms are similar to prior strokes he has had. The following ECG is obtained on arrival to the ED:

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

    1. What is your differential for the anterior ST segment elevation seen?
    2. Do you notice any abnormal intervals?
    3. What is the most likely diagnosis?