STAT ECG Diagnoses: can you have a STEMI without any ST segment elevation on the 12 lead ECG?

ECG Weekly Workout with Dr. Amal Mattu


A 43-year-old woman is brought to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:

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

    1. What is your differential for the ST segment deviation seen?
    2. Does this ECG meet STEMI criteria?
    3. Would you activate the cath lab based on this ECG?