ECG Quest > Shapes > ST segment > Coved ST elevation

Coved ST elevation

Coved ST elevation is a convex shape that is classically seen in V1-V3 as part of the Brugada sign. It may also occur due to hyperkalemia.

See also: ST segment

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In the ECGquest archives, this ECG has been tagged with: - Chest pain Coved ST elevation 12-Lead Dr Smith's ECG Blog CC BY-NC
A Middle-Aged male with Chest Pain and an Unusual ECG

This ECG is from a middle aged man who presented with chest pain.

This ECG shows coved ST elevation in V1-3. It did not evolve on serial ECGs. It may have been an unusual Brugada pattern.

In the ECGquest archives, this ECG has been tagged with: - Normal Axis Coved ST elevation Upsloping ST depression Hyperthermia 12-Lead Dr Smith's ECG Blog CC BY-NC
Hyperthermia and ST Elevation

This ECG is from an elderly woman who presented with altered mental status on a hot summer day.

This ECG shows sinus tachycardia (124), ST elevation in V1-2 and III and upsloping ST depression in I, aVL and V4-6. POCUS did not show a regional wall motion abnormality. The ST changes resolved with active cooling.

In the ECGquest archives, this ECG has been tagged with: - Coved ST elevation ST elevation in aVL Normal Sinus Rhythm LBBB 12-Lead ECG Interpretation Dr Ken Grauer CC-BY-NC-SA
ECG Blog #146 – (BBB – Primary ST-T Changes)

This ECG is from a patient of unknown age who presented with acute chest pain.

This ECG shows LBBB with concordant ST changes in III, aVF and aVL most likely due to acute MI. The patient was not sent to the cath lab. They arrested and could not be resuscitated.