An Interesting ECG Case

Written By Shuangbo Liu

34 year old male presents with chest pain.

ECG shows sinus bradycardia with diffuse concave ST elevation. 

  • ST elevation is seen in leads I/aVL, II/aVF and V3-V6, involving multiple territories. 

  • Mild PR depression is also seen on the ECG.

  • This is consistent with pericarditis.

  • Further history reveals sudden onset of sharp chest pain associated with shortness of breath, nausea, emesis and diaphoresis.

  • Troponin 241.

  • Coronary angio showed normal coronary arteries.

Shuangbo Liu
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