Literature Review: aVR – The forgotten 12th lead

Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu


A 55-year-old man with PMHx of end stage renal disease on dialysis presents to the ED for fatigue and pain all over. He denies 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 the ST-segment elevation in aVR?
  3. What is the most likely diagnosis?
  4. How would you treat this patient?