Page 178 - ECG dr shamol_Slide

DD of ST elevation

AMI (convexity up ward)

Acute pericarditis (concavity up ward)

Prinzmetal angina

Ventricular aneurism ( persistent ST elevation )

Early repolarization (high take off )

How will u differentiated from ST elevation from early repolarization ?

In MI

•There is T inversion and Q wave

In early reploraization (ER)

•In young pt

•Usually in V 4-6 , with J point elevation

•No Q or T change

If u r still confused then do serial ECG that will show

•No change in ER

•But in Case of MI , Q or T change will appear