2024 EM Boards ECG Review Part II

Emergency Medicine Board Review: Must Know ECGs with Dr. Amal Mattu


HPI

A 55-year-old man with a known left bundle branch block presents to ABEM general hospital with acute chest pain. Vital signs are normal and his pain is slightly improved with aspirin and nitroglycerin. The following ECG is obtained:

Before watching the video, ask yourself:

      1. Is there evidence of occlusion MI?
      2. Would you activate the cath lab?