Do these biphasic T waves and ST segment abnormalities suggest acute coronary occlusion MI?

UMEM Potpourri ECG Cases with Dr. Amal Mattu

HPI

A 40-year-old man is brought to the emergency department for acute chest pain. The following ECG was obtained:

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

  1. What is the most likely cause of the T wave and ST segment abnormalities?
  2. Would you activate the cath lab?