ECG Basics and Fundamentals: must knows in patients with ST segment elevation in aVR

ECG Weekly Workout with Dr. Amal Mattu


An 80-year-old man is brought to the ED by EMS for chest pain and dyspnea. He is found to be tachypneic, tachycardic, hypoxic, with a blood pressure of 105/50. The following EMS ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. What is the axis?
  3. Would you activate the cath lab based on this ECG and history?