Common Causes of ST Elevation
There are a large number of causes of ST Segment elevation without infarction.
The aim of this session is to review the conditions which are likely to mimic ST elevation myocardial infarction (STEMI).
Some are cardiac in origin (e.g. pericarditis, Brugada syndrome,) but others are not (e.g. hyperkalaemia or pulmonary embolism).
Causes of ST elevation
| Cardiac | Intracranial | Other | Drugs | Metabolic | Abdominal |
| ST Elevation Myocardial Infarction (STEMI) | Stroke | Spinal Cord injury | Digoxin | Hyperventilation | Peritonitis |
| Pericarditis | Raised Intracranial Pressure | Pulmonary Embolism | Isoprenaline | Hyperkalaemia | |
| Ventricular Aneurysm | Intracranial Haemorrhage | Hypothermia | Quinidine | ||
| Brugada syndrome | Procainamide | ||||
| Left Bundle Branch Block |
Learning bite
There are many causes of ST Segment elevation which are not related to acute myocardial infarction.