STAT ECG Diagnoses: is this ST segment elevation due to early repolarization or a large STEMI?

ECG Weekly Workout with Dr. Amal Mattu


HPI

A 38-year-old male presents to the ED with acute chest pain. The following ECG is obtained:

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

    1. What is the most important ECG abnormality you notice?
    2. Is this ECG most consistent with early repolarization or STEMI?
    3. Would you activate the cath lab?