ECG Basics & Fundamentals: using a systematic approach to identify the cause of ST segment elevation

ECG Weekly Workout with Dr. Amal Mattu


A 49-year-old man presents to the ED with nausea, lightheadedness, arthralgias and malaise. He appears dehydrated but has an otherwise normal exam. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. Would you activate the cath lab based on this ECG and story?
  3. What are the different causes of ST-segment elevations?