Beyond ST Elevation: Guideline Based Cath Lab Activation

ECG Weekly Workout with Dr. Amal Mattu


HPI

A 61-year-old woman with PMHx of prior MI presents with acute midsternal chest pain that radiates to the left shoulder. Symptoms have been intermittent for the fast few weeks, without clear alleviating or aggravating symptoms. The following ECG is obtained on arrival:

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

    1. What is your formal ECG interpretation?
    2. Does this ECG meet STEMI criteria?
    3. Would you activate the cath lab?