Differential Diagnoses: T wave inversions in a young woman with chest discomfort

ECG Weekly Workout with Dr. Amal Mattu


A 25-year-old woman with PMHx of asthma is brought to the ED with shortness of breath and chest aching. Exam is notable for mild wheezing. The following ECG is obtained at triage:

Before watching the video, look closely at this ECG and ask yourself:

  1. What is your full ECG interpretation?
  2. What is your differential for the T-wave inversions seen in the anteroseptal leads?
  3. What is the most likely cause of this patient’s ECG abnormalities?