DIfferential Diagnoses: subtle but deadly causes of syncope to consider
ECG Weekly Workout with Dr. Amal Mattu
HPI
A 56-year-old woman presents to the ED with chest pain and has a syncopal episode prior to arrival. She has a past medical history of hypertension, hyperlipidemia, is a smoker, and has a family history of CAD. The following ECG is obtained:
Before watching this week’s video, ask yourself these questions:
- What ECG abnormalities do you notice?
- What are the life threatening causes of syncope that can be diagnosed by ECG?
- Assuming the initial troponin is negative, how would you treat and disposition this patient?