Avoiding Misdiagnosis Through Proper Lead Placement

ECG Weekly Workout with Dr. Amal Mattu

HPI

A 40-year-old man with no known medical problems presents with concerns about his cardiac health after a friend recently had an MI. He has no symptoms of acute coronary syndrome but remains concerned. The following ECG is obtained:

Before watching the video, ask yourself:

    1. Does this ECG suggest acute ischemia or prior anteroseptal MI?
    2. What is your differential for the poor R wave progression noted in the precordial leads?
    3. How would you document this ECG considering low clinical suspicion for acute MI?