Bradycardia, STEMI, and a Misleading Rhythm Diagnosis

ECG Weekly Workout with Dr. Amal Mattu

HPI

A 68-year-old woman calls EMS after having a syncopal episode while using the bathroom. She reports associated chest pain over the past day. The following prehospital ECG is obtained:

Before watching this week’s workout, carefully review the ECG and consider the following:

    1. What is the rate and rhythm?
    2. What is the axis and your differentials for this axis abnormality?
    3. What is your formal diagnosis and next best step?