Potpourri of cases: diffuse subendocardial myocardial ischemia with ST segment elevation in aVR and diffuse ST segment depressions, the ECG findings in severe hyperkalemia, Wellens syndrome, and more!

ECG Weekly Workout with Dr. Amal Mattu


A 39-year-old male with PMHx of HTN presents to the ED with severe chest pain and abdominal pain. The following ECG is obtained:

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

  1. What ECG abnormalities do you see?
  2. What is your differential for ST segment elevation in aVR with diffuse ST segment depressions?
  3. Would you activate the cath lab?