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:
- What ECG abnormalities do you notice?
- What is your differential for the ST segments and T wave abnormalities?
- Would you activate the cath lab?