Amal Mattu’s ECG Case of the Week – September 28, 2020

HPI: An 86-year-old female with PMHx of CAD and pacemaker placement presents to the ED with acute chest pain. Pain has been radiating to the right upper extremity for 1 hour and is associated with shortness of breath. The following ECG is obtained:

Case ECG



Before watching the video, look closely at this ECG and ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. Are there any ECG findings suggestive of acute coronary occlusion?
  3. Would you emergently activate the cath lab?



Key Teaching Points

CME Questions




Kudos:  Big thanks to Rachel Shemtov for sharing her case this week!

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



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