Podcast 696: ST Elevation and Differential Diagnoses

Contributor: Peter Bakes, MD

Educational Pearls:

• ST elevation clinical guidelines for myocardial infarction include:
• • 2.5 mm elevation for males <40 in V2 and V3
  • 2 mm elevation in males >40 in V2 and V3
  • 1.5 mm elevation for females in V2 and V3
  • 1 mm elevation in 2 or more contiguous leads (not V2 or V3)
• Differential diagnosis of ST elevation includes, but is not limited to:
• • STEMI
  • Electrolyte abnormalities
  • Pericarditis/myocarditis
  • Brugada syndrome
  • LVH
  • Bundle branch blocks
  • Ventricular aneurysm

References

de Bliek EC. ST elevation: Differential diagnosis and caveats. A comprehensive review to help distinguish ST elevation myocardial infarction from nonischemic etiologies of ST elevation. Turk J Emerg Med. 2018;18(1):1-10. Published 2018 Feb 17. doi:10.1016/j.tjem.2018.01.008

Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD

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