Differential Diagnoses: ST segment elevation in aVR with multilead ST segment depression

ECG Weekly Workout with Dr. Amal Mattu


A 74-year-old male presents to the ED with 1 day of epigastric pain, vomiting, and profuse watery diarrhea. 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 rate and rhythm?
  3. What is your differential for ST-segment elevation is aVR?