Amal Mattu’s ECG Case of the Week – May 17, 2021

HPI:  A 37-year-old male presents to the ED with a brief episode of sharp epigastric pain followed by ongoing nausea and diaphoresis. Exam is otherwise non-diagnostic. The following ECG is obtained on arrival with no prior ECGs available for comparison:

 

 

Case ECG

 

 

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

  1. What ECG abnormalities do you notice?
  2. What is your differential for the ST segments and T wave abnormalities?
  3. Would you activate the cath lab?

 

 

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 Chuck Sheppard, Noah Steege, Kevin Richards, Ryan Conway, and Katie Baugher for sharing this week’s cases!

 

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