Normal ST elevation

Normal variant ST elevation can occur in healthy, often young, patients. It is very important to differentiate it from acute ischemia. It has also been known as Benign Early Repolarisation.

Typical features of normal ST elevation include:

  • Concave ST elevation, most often in the anterior leads
  • J waves / J wave notching
  • Absence of reciprocal ST depression
See also: Other

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References

33 ECGs found. Sort by:
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In the ECGquest archives, this ECG has been tagged with: - Anterior ST elevation Normal ST elevation 12-Lead Dr Smith's ECG Blog CC BY-NC
Chest pain and Convex ST Elevation in Precordial Leads

This ECG is from a man in his 30s who presented with chest pain for a week on a background of anxiety, asthma and alcohol use disorder.

This ECG shows ST elevation in V2-6, with convexity. Serial ECGs showed no evolution and serial troponins did not rise. The 4-variable formula gives a false positive with this ECG due to the convexity.

In the ECGquest archives, this ECG has been tagged with: - Abdominal pain Chest pain Anterior ST elevation Normal ST elevation 12-Lead Dr Smith's ECG Blog CC BY-NC
Saddleback ST Elevation. Is it STEMI? Is it type II Brugada? Repeat ECG.

This ECG is from a man in his 50s who presented with epigastric and chest pain.

This ECG shows normal variant ST elevation.

In the ECGquest archives, this ECG has been tagged with: - Anterior ST elevation Lateral ST elevation Normal ST elevation 12-Lead Dr Smith's ECG Blog Dr Ken Grauer CC BY-NC
A 58 year old with Weakness and more than 4 mm ST Elevation in V3

This ECG is from a man in his 50s who presented with lightheadedness. He was alert, sweating and felt weak. There was no chest pain. He had no past medical history, medications or risk factors for coronary disease.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Normal ST elevation 12-Lead Dr Smith's ECG Blog CC BY-NC
Chest pain and T-wave inversion in lead V2: repeat ECG with electrodes repositioned

This ECG is from a healthy young man who presented with chest pain. This was the repeat ECG after the electrodes had been repositioned.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Palpitations Irregular Anterior ST elevation J wave Widespread ST elevation Atrial fibrillation Normal ST elevation 12-Lead Dr Smith's ECG Blog CC BY-NC
Palpitations and Chest Tightness: Should You Activate the Cath Lab (or Give Thrombolytics)?

This ECG is from a man in his 20s with palpitations and chest tightness on a background of Wolff Parkinson White syndrome.