Amal Mattu’s ECG Case of the Week – April 27, 2020

HPI:  An 86-year-old man presents to the ED with substernal chest pressure, diaphoresis, and vomiting. 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. In the era of COVID-19, how would you manage this patient?
  3. What do guidelines say about systemic fibrinolytic therapy vs. primary PCI for treatment of STEMI?



Key Teaching Points


CME Questions





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


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