HPI: A 48-year-old man presents with 90 minutes of chest pain. He is hemodynamically stable and has a normal first troponin. The following ECG is obtained:

Case ECG


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

  1. What ECG abnormalities do you notice?
  2. How concerned are you for acute coronary occlusion?
  3. How would you manage this patient?



Key Teaching Points


CME Questions





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

Kudos: Big thanks to Haris Rauf, Bill Brady, Nicolas Pineda, Eric Klotz, & Adam Thompson sharing their cases this week.