Case 52: A 19-Year-Old Man seen after an Accidental Fall
History
Diagnosis
History
A 19-year-old man is seen in the Emergency Department after an accidental fall on the subway stairs.The ECG is recorded because he was complaining of chest wall tenderness:
Diagnosis
- Marked sinus bradycardia (45/min) with sinus arrhythmia
- ST elevation, compatible with early repolarization (a normal variant)
Link to reference article: Ginzton LE, Laks Michael, The differential diagnosis of acute pericarditis from the normal variant: new electrocardiographic criteria. Circulation 65:1004,1982 http://circ.ahajournals.org/cgi/reprint/65/5/100
ECG ID: E121