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When diagnosing ST segment elevation, which one of the following statements is the LEAST appropriate?
Which of the following is the MOST typical feature of ST elevation due to Benign Early Repolarisation (BER)?
A 35-year-old man presents to the ED with chest pain; it is reproducible on pressing on the chest wall. He looks well, he has no associated features and your diagnosis is musculoskeletal chest pain. His ECG shows ST segment elevation which looks like BER. He has an old ECG from 6 months ago which is similar.
Which one of the following statements about BER is True?
A 30-year-old lady presents with chest pain which is worse when she lies down. She has had a cold for the last 3 days.
Clinical examination shows she has a pleural rub. You suspect that she has pericarditis; Which one of these is MOST likely to support the diagnosis?
A 37-year-old man presents to the ED with ST segment elevation associated with acute pericarditis. Which of these features is NOT an indicator of poor prognosis?
A patient presents with an ECG showing LBBB and you suspect an acute myocardial infarction (AMI); Which one of the following WOULD be associated with an increased likelihood of AMI?
You see a patient in the ED who you strongly suspect has Brugada Syndrome. His ECG does not show ST segment elevation.
Which one of these statements is True?
A 55-year-old lady attends the ED having collapsed with a GCS of 6/15. You suspect she has a subarachnoid haemorrhage (SAH). Her ECG shows ST segment elevation.
Which one of these statements is True?
A 26-year-old man with known Type 1 diabetes presents in diabetic ketoacidosis. He is found to have a serum potassium of 8.3mmol/l.
Which of the following statements about his ECG is the MOST likely?
Really useful session which I will hopefully retain and take away for use in practice; Many thanks;
Now at least I can explain why I don’t think it’s a AMI !!
A very good revision on various faces of ST-elevation !!
Thank you
Excellent learning session
one of the most comprehensive and useful modules I have done. I had picked up some of this knowledge in a piecemeal fashion, but to have it all in one teaching is great.
excellent module