Differential Diagnoses: poor R wave progression and attention to T wave abnormalities

ECG Weekly Workout with Dr. Amal Mattu


A 55-year-old woman presents with substernal chest pressure radiating to the left upper extremity, dyspnea, and nausea. She has a past medical history of HTN, DM, HLD, and is a smoker. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. What signs of early cardiac ischemia are present?
  3. How would you manage this patient?