The many causes of ST segment elevation in aVR and a discussion on the ECG findings in severe hypokalemia

ECG Weekly Workout with Dr. Amal Mattu


A known local alcoholic presents to the emergency department with weakness. The patient has been laying on a mattress in a field for most of the past week. He says his generalized weakness is severe and has no other complaints. The following ECG was obtained at triage:

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

  1. What ECG abnormalities do you notice?
  2. What is the most likely etiology of symptoms?
  3. Would you activate the cath lab and/or treat with antiplatelet/anticoagulant medications?