Tombstone ST elevation

Tombstone ST elevation occurs when there is such marked ST elevation that it resembles the shape of a tombstone. It is associated with substantial myocardial infarction.

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In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest Chest pain Dyspnoea 12-Lead Tombstone ST elevation Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
Would you have given thrombolytics to this NSTEMI patient? Repeat post arrest and ROSC

This ECG is from a middle aged male who presented with chest pain and dyspnoea. This ECG was recorded after a witnessed VF arrest, tenecteplase and multiple shocks.

This ECG shows massive anterior ST elevation due to acute anterolateral MI.