Recognition
- • Type 1: coved ST elevation ≥2 mm in V1–V2 with negative T
- • Type 2: saddle-back ST
Key findings
- • High right-precordial leads (2nd ICS) increase yield
Clinical importance
- • Risk of polymorphic VT / sudden cardiac death
- • Fever, sodium channel blockers unmask
Management pearls
- • Avoid fever, certain drugs (procainamide, flecainide, TCAs)
- • ICD if syncope / VT documented
- • Refer electrophysiology
Related in WardRound
