HPI:  An 85-year-old woman with PMHx of atrial fibrillation is referred to the ED by her primary care physician who is concerned for cardiac ischemia. The patient has been having epigastric pain, generalized weakness, vomiting and diarrhea. The following prehospital ECG was obtained:

Case ECG

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. Are there signs of acute cardiac ischemia?
  3. What is the most likely cause of the biphasic T wave pattern seen in the precordial leads?



Case Interpretation

Review Key Teaching Points



Notes: Questions for Amal? Email him at amalmattu@comcast.net or find him on Twitter @amalmattu.

Kudos: Big thanks to László Farkas, Prathibha Shenoy, Osama Muhammad Ali, Jacob Ginglen, Steven Hammond & Sean Fox for sharing this week’s cases


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