Podcast 696: ST Elevation and Differential Diagnoses - The Emergency Medical Minute

Podcast 696: ST Elevation and Differential Diagnoses

Contributor: Peter Bakes, MD

Educational Pearls:

  • ST elevation clinical guidelines for myocardial infarction include:
    • 2.5 mm elevation for males <40 in V2 and V3
    • 2 mm elevation in males >40 in V2 and V3
    • 1.5 mm elevation for females in V2 and V3
    • 1 mm elevation in 2 or more contiguous leads (not V2 or V3)
  • Differential diagnosis of ST elevation includes, but is not limited to:
    • STEMI
    • Electrolyte abnormalities
    • Pericarditis/myocarditis
    • Brugada syndrome
    • LVH
    • Bundle branch blocks
    • Ventricular aneurysm


de Bliek EC. ST elevation: Differential diagnosis and caveats. A comprehensive review to help distinguish ST elevation myocardial infarction from nonischemic etiologies of ST elevation. Turk J Emerg Med. 2018;18(1):1-10. Published 2018 Feb 17. doi:10.1016/j.tjem.2018.01.008

Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD

The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.org/cme-courses/ and create an account. 

Donate to EMM today!

Check out this episode!

Leave a Reply

Your email address will not be published.

This site uses Akismet to reduce spam. Learn how your comment data is processed.


Stay up to date by
joining our mailing list!