MI MIMICS ECG

Question 1

Mimics of MI

Answer 1

BER
Pericarditis
Left main coronary occlusion
De Winter’s T waves
Wellen’s syndrome
Brugada syndrome

Question 2

Differentials of tall T waves

Answer 2

Hyperacute T waves in early STEMI
Hyperkalemia
Benign early deplorisation

Question 3

Differentials of ST depression

Answer 3

Ischaemia
Posterior STEMI (inferopost or isolated post)
Left main coronary artery occlusion
De Winter’s T waves (proximal LAD occlusion)
Severe hypokalemia

Question 4

Left main coronary artery occlusion

Answer 4

ST depression >/= 1mm in 6 or more leads, esp inferior leads
ST elevation in lead avR >/= V1