Widespread ST elevation

Widespread ST elevation occurs across many leads, typically inferior (II, III, aVF), anterior (V2-4) and lateral (I, aVL, V5, V6) distributions.

See also: ST segment

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ECG Library (30)

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In the ECGquest archives, this ECG has been tagged with: - Seizure 12-Lead J wave Widespread ST elevation Normal ST elevation Dr Smith's ECG Blog CC BY-NC
A Young Man with Sharp Chest pain

This ECG is from a teenage male who had a seizure.

This ECG shows diffuse ST elevation with prominent J waves and no reciprocal ST depression. The most likely cause was early repolarisation.

In the ECGquest archives, this ECG has been tagged with: - Dyspnoea Fever 12-Lead Regular Tachycardia Widespread ST elevation Sinus tachycardia Myocardial Bridging Dr Smith's ECG Blog CC BY-NC
Tachycardia, fever to 105, and ischemic ST Elevation — a Bridge too Far

This ECG is from a man in his 50s who presented with a high fever and dysonpea.

This ECG shows sinus tachycardia with widespread ST elevation. He was treated for sepsis but serial ECGs and troponins were abnormal. Angiogram showed a myocardial bridge in the mid LAD.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead PR segment depression Widespread ST elevation Normal Sinus Rhythm Pericarditis ECG of the Week CC-BY-NC-SA
ECG of the Week – 24th December 2018 – Interpretation

This ECG is from a man in his 30s who presented with 2 days of positional left sided chest pain.

This ECG shows normal sinus rhythm with widespread ST elevation and PR depression. The diagnosis was pericarditis.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Serial 12-lead Anterior ST elevation Bradycardia Inferior ST elevation Lateral ST elevation Normal Axis Regular Shark fin ST elevation Widespread ST elevation Left main occlusion Dr Smith's ECG Blog CC BY-NC
Total eclipse of the heart – 40 min later with crushing chest pain

This ECG is from a man in his 50s who presented with chest pain radiating to the left side and back, nausea, diaphoresis and bilateral finger tingling sensation. This was the repeat ECG 40 min after arrival when he had a sudden recurrence of crushing chest pain and appeared critically ill.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Electrode Detachment Serial 12-lead Anterior ST elevation Bradycardia Inferior ST elevation Lateral ST elevation Normal Axis Regular Shark fin ST elevation Widespread ST elevation Left main occlusion Dr Smith's ECG Blog CC BY-NC
Total eclipse of the heart – 41 min later with crushing chest pain, just before arrest

This ECG is from a man in his 50s who presented with chest pain radiating to the left side and back, nausea, diaphoresis and bilateral finger tingling sensation. This was the repeat ECG about 41 min after arrival, with recurrent crushing chest pain, just before he arrested.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Palpitations 12-Lead Anterior ST elevation Irregular J wave Widespread ST elevation Atrial fibrillation Normal ST elevation 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.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Standard Calibration Normal Axis PR segment depression Widespread ST elevation Pericarditis Dr Smith's ECG Blog CC BY-NC
ST Elevation after Stab Wound to the Heart

This ECG is from a young man presented after a stab wound to the chest. Rapid ED diagnosis of cardiac penetrating trauma was made by ED ultrasound, and the patient went to the OR and had a wound to the right atrium repaired.  There was no laceration of any coronary vessel.  He did well.  This ECG was recorded at day 3 because of tachycardia.

In the ECGquest archives, this ECG has been tagged with: - Abdominal pain 12-Lead Anterior ST elevation Inferior ST elevation Inverted T waves Narrow QRS Normal Axis Normal PR Normal rate Regular Widespread ST elevation Takotsubo cardiomyopathy ECG of the Week CC-BY-NC-SA
ECG of the Week – 15th January 2018 – Interpretation

This ECG is from a woman in her 60s presented with a 3 day history of colicky right upper quadrant abdominal pain. She had no known past medical history.