Differential for ST elevation on ECG

Coronary

  • Myocardial infarction
  • Coronary spasm or Printzmatel angina
  • Ischemia with reciprocal changes

Inflammation

  • Myocarditis
  • Pericarditis
    • Post-myocardial infarction syndrome or Dressler’s syndrome

Metabolic

  • Hyperkalemia
  • Hypothermia—look for Osborne waves (and a cold patient)

Structural

  • Brugada syndrome
  • Cardiac contusion
  • Pulmonary embolism
  • Left bundle branch block
  • Ventricular aneurysm