Electrocardiographical case. ST elevation: is this an infarct?

HC Chew, SH Lim
Correspondence: Dr Chew Huck Chin, chinnjing@pacific.net.sg

ABSTRACT
A 25-year-old man presented at the emergency department with complaints of fever and chest pain. The electrocardiogram (ECG) showed concave ST segment elevation that was not confined to any arterial territory. There was PR segment elevation in lead aVR as well as PR segment depression in leads II, V5 and V6. This was consistent with pericarditis. The electrocardiographical changes associated with pericarditis are discussed. A second case of a 64-year-old man with uraemic pericarditis with similar ECG changes is illustrated.

Keywords: electrocardiographical changes, pericarditis, ST elevation, uraemic pericarditis
Singapore Med J 2005; 46(11): 656-660