Podcast 696: ST Elevation and Differential Diagnoses

<p><strong>Contributor: Peter Bakes, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">ST elevation clinical guidelines for myocardial infarction include:</span></li> <li style="list-style: none; display: inline"> <ul> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">2.5 mm elevation for males <40 in V2 and V3</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">2 mm elevation in males >40 in V2 and V3</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">1.5 mm elevation for females in V2 and V3</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">1 mm elevation in 2 or more contiguous leads (not V2 or V3)</span></li> </ul> </li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Differential diagnosis of ST elevation includes, but is not limited to:</span></li> <li style="list-style: none; display: inline"> <ul> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">STEMI</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Electrolyte abnormalities</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Pericarditis/myocarditis</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Brugada syndrome</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">LVH</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Bundle branch blocks</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Ventricular aneurysm</span></li> </ul> </li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">de Bliek EC. ST elevation: Differential diagnosis and caveats. A comprehensive review to help distinguish ST elevation myocar