STAT ECG Diagnoses: a peculiar pattern of ST segment elevation that is high risk for death!

ECG Weekly Workout with Dr. Amal Mattu


A 64-year-old man with HTN and DM presents to the ED with chest pain that radiates to the right lower neck x 1 week. He also reports difficulty walking and blurry vision over the past hour. He is noted to be hypotensive with a systolic pressure of 70 mmHg. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. This ECG has a finding that suggests critical illness and high risk of death; do you know what it’s called?
  3. What differential diagnoses are you considering? (Hint: It’s not a STEMI)