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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.
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