This ECG was obtained from a healthy 29-year-old man. It shows "benign early repolarization". It demonstrates the typical pattern of widespread ST elevation with a normal concave upward sloped ST segment. There are also prominent U waves in V2 through V4, and T wave inversions in the inferior wall leads.
This ECG was obtained from an elderly man who was complaining of acute-onset chest pain, radiating down his left arm. He also complained of a cough, and had audible rhonchi. The machine interpretation gives several possible explanations for the widespread ST elevation noted on the ECG. The paramedics were a bit distracted by the machine's interpretation, and by the respiratory symptoms, and decided not to call a "cardiac alert" on the patient. They did, however, quickly transport him to the closest hospital, which happened to have full-service cardiac facilities.&nbs
Our expert today is Dr. Ken Grauer, M.D., a frequent contributer to the ECG Guru.
KEN GRAUER, MD is Professor Emeritus (Dept. Community Health/Family Medicine, College of Medicine, University of Florida in Gainesville).
Dr. Grauer has been a leading family physician educator for over 30 years. During that time he has published (as principal author) more than 10 books and numerous study aids on the topics of ECG interpretation, cardiac arrhythmias, and ACLS (including an ongoing Educational ECG Blog).
For my answer, please check out my FULL REVIEW on assessing ST Elevation from Early Repol vs Acute MI - GO TO: https://www.kg-ekgpress.com/ecg_-_early_repolarization/
FOR ECG SHOWN HERE: Early Repol - OR - Anterior STEMI? The ANSWER in ECG BLOG #47 (http://ecg-interpretation.blogspot.com/2012/07/ecg-interpretation-review-47-normal.html ).
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