Differential Diagnoses: is this ECG pattern consistent with ACS or is there something else it could be?

ECG Weekly Workout with Dr. Amal Mattu


A 59-year-old male with a PMHx of a HTN and anxiety presents the ED for progressive dyspnea on exertion over the past few weeks. He denies pain and appears comfortable. VS: 121/75, 68, 16, 92% (RA). The following ECG was obtained, and compared to a previous ECG that was normal:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What is your differential diagnosis?
  3. How would you treat this patient?