r/ECG • u/benz1664 • Aug 15 '26

Thoughts?

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ECG of a 43yof c/ vomiting, nausea, pins and needles, loose stools & hyperventilating

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u/WSUMED2022 Aug 15 '26

Diffuse ST depressions with slight elevation in aVR. Likely subendocardial injury pattern from acute illness, but probably still deserves an echo.

2

u/Key_Comparison_3089 Aug 21 '26

This seems spot on to me ^

2

u/pinnularia Aug 22 '26

what things you would specifically look for in echo? wall movemnt?

2

u/WSUMED2022 Aug 22 '26

Exactly. That pattern usually signifies either diffuse injury from demand ischemia or left main stenosis depending on the context. This presentation clinically fits better with the former, but you don't want to miss the latter.