ECG Basics & Fundamentals: pseudo ST segment elevation in patients with bundle branch blocks

ECG Weekly Workout with Dr. Amal Mattu


A 75-year-old man presents with a history that is concerning for ischemic 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. What is your differential for ST-segment elevation in aVR with diffuse ST-segment depression?
  3. Would you activate the cath lab based on this ECG and history?