A 50-year old man who had recently joined a gym collapsed on the treadmill. He was rushed to the hospital where the ECG shows the presence of:
* The ECG shows patient in sinus Rhythm, normal QRS axis * Upsloping ST-segment elevation is seen in V2-V5 and aVL * In extreme left, premature ventricular beats can be noticed in Lead II and Lead III * Rhythm strip lead II shows ST depression (right at the bottom) Brugada syndrome has ST elevation in VI-V3 and can present with sudden collapse during physical exeion but the collapse occurs due to ventricular tachycardia. ECG strip, however, does not show any tachyarrhythmia. Arrhythmogenic right ventricular dysplasia shows the presence of epsilon waves.
Acute extensive anterior wall MI
Brugada syndrome
Catecholamine sensitive ventricular tachycardia
Arrhythmogenic right ventricular dysplasia
Acute coronary syndrome