Critical ECG: Ischemia (or not) Cases

Question 1

History: 36-year-old male with hypertension and hypercholesterolemia presents with 3 hrs of chest pain

• Would you bypass/activate?

Answer 1

• No! Not a STEMI
• Acute Pericarditis
  
  • Widespread concave ST elevation and PR depression
  • Spodick’s sign (downsloping TP segment)