A scooped ST segment is an electrocardiogram (ECG) finding characterised by a downward concavity in the ST segment, typically seen in conditions such as pericarditis or early repolarisation patterns. This finding is clinically significant as it can indicate underlying myocardial injury or inflammation, prompting further investigation. A key association is with pericarditis, where it may accompany diffuse ST elevation and PR segment depression, reflecting inflammation of the pericardium.