Biphasic T Waves in Suspected Acute Coronary Syndrome

ECG Weekly Workout with Dr. Amal Mattu


HPI

A 69-year-old man with PMHx of hypertension and polysubstance abuse presents to the emergency department for evaluation of exertional chest pain that resolves with rest. He is currently asymptomatic. The following ECG is obtained:

Before watching this week’s workout, look closely at this ECG and ask yourself:

    1. What is the most likely cause of the T wave abnormalities seen in the precordial leads?
    2. Would you activate the cath lab?