Differential Diagnoses: terminal QRS distortion in the differentiation of STEMI from early repolarization

ECG Weekly Workout with Dr. Amal Mattu


A 43-year-old male presents to the emergency department with chest pain. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. Is this ECG most consistent with STEMI or early repolarization?
  3. How would you manage this patient?