Thanks to Mark Santamaria for this case
Stem: This 35 year old male presented with a 6 hour history of severe left sided chest pain that radiated to the neck, and was associated with sweating and shortness of breath.
+ List the significant findings in the ECG and provide the most likely or important diagnosis
- The rhythm is regular. There is a sinus tachycardia with a rate of about 115 beats per minute. The PR, QRS and QT intervals are within normal limits
- The frontal plane QRS axis is normal. The transition zone is in Lead V4
- There is slight (1-2 mm) J point elevation in Leads V2 to V6. The T waves are upright in these leads, with a broad base and a upward stroke having a slightly concave contour.
- PR segment elevation is present in Lead aVR, and PR segment depression is seen in Lead II, and in Leads aVF and V3 to V5
- These changes are consistent with acute pericarditis
- The isoelectric line is stable in this case, making it easy to see the PR segment depression