Differential Diagnosis: STEMI vs. acute pericarditis
ECG Weekly Workout with Dr. Amal Mattu
A 45-year-old male presents to the emergency department with sharp, positional, and pleuritic chest pain while doing CrossFit. He is not a smoker and has no known cardiac risk factors. The following ECG was obtained on arrival:
Before watching this week’s video, ask yourself these questions:
- What ECG abnormalities do you notice?
- What is your differential for the ST-segment abnormalities?
- How can you use the ECG to help differentiate acute pericarditis from STEMI?
- Would you activate the cath lab?