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?