Amal Mattu’s ECG Case of the Week – April 1, 2019

HPI:  A 38-year-old male presents to the emergency department with intermittent chest pain for a few weeks. He has insulin dependent diabetes and a history of noncompliance with medications. He looks sick, and his finger stick glucose measurement reads “high”. The following ECG was obtained:

Case ECG

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

  1. What ECG abnormalities do you notice?
  2. What is the most likely cause of the ECG abnormalities?
  3. Would you activate the cath lab?



Key Teaching Points


CME Questions



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

Kudos:Big thanks to Drs. David Gordon, Jon Kenyon, & Sarah Ramsay for sharing their cases this week

Cases by Month

Be the best at electrocardiography!

Master ECG interpretation from our nationally-known educators

Get a full year access for only $26!