An important incidental ECG findings

ABSTRACT

A 34-year-old male with diabetes mellitus presented with diabetic ketoacidosis. He was treated with insulin. Echocardiography and cardiac enzymes (CKMB and troponin I) were normal. Routine electrocardiogram (ECG) was done and is shown in the above panel. Q What is the ECG diagnosis? What are the possible diagnoses you would consider? 1 Acute ST segment elevation myocardial infarction (STEMI) 2 Hyperkalemia 3 Brugada Syndrome 4 Normal ST-T changes in a young person Answer refer to page 69