CARDIOLOGY - ECG LIBRARY
Case 66
25M severe chest pain 12h. List DDx (2), ECG findings to support, and expected echo


Expected Response
Acute STEMI - Presence of ST elevation with reciprocal depression in I and aVL - Q waves in V1 and V2 - STE III > II – ECHO = RWMA on echo would support STEMI
Acute pericarditis / myocarditis - Widespread STE not conforming to one anatomical region - Saddle shaped STE – ECHO = No RWMA, presence of pericardial effusion
Note: The answer didn’t say if this was a STEMI or pericarditis.
Acute pericarditis / myocarditis - Widespread STE not conforming to one anatomical region - Saddle shaped STE – ECHO = No RWMA, presence of pericardial effusion
Note: The answer didn’t say if this was a STEMI or pericarditis.