Literature Review: ST segment elevation, but not in contiguous leads!

Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu


A 57-year-old woman presents with chest pain and dyspnea. She is hemodynamically stable and her exam is non-diagnostic. The following ECG is obtained:

Before watching the video, ask yourself:

      1. Which leads have ST segment deviation?
      2. Is there ST elevation in any contiguous leads? 
      3. Would you activate the cath lab?