Literature Review: evaluation of Spodick’s sign and other electrocardiographic findings as indicators of STEMI and acute pericarditis

ECG Weekly Workout with Dr. Amal Mattu


A 40-year-old male presents to the ED with chest pain. The following ECG is obtained with a computer interpretation of “Acute Pericarditis”: 

Before watching the video, look closely at this ECG and ask yourself these questions:

  1. What is your differential for diffuse ST segment elevation?
  2. Does this ECG have features suggestive of STEMI rather than pericarditis?
  3. Would you activate the cath lab?