Differential Diagnoses: ST segment elevation in aVR

ECG Weekly Workout with Dr. Amal Mattu


A 74-year-old man presents to the ED for chest pain with exertion for the past 2 hours.  He appears diaphoretic and acutely ill. 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 the rhythm?
  3. What is the most likely diagnosis?
  4. How would you treat this patient?