DIfferential Diagnoses: subtle but deadly causes of syncope to consider

ECG Weekly Workout with Dr. Amal Mattu


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:

  1. What ECG abnormalities do you notice?
  2. What are the life threatening causes of syncope that can be diagnosed by ECG?
  3. Assuming the initial troponin is negative, how would you treat and disposition this patient?