ECG Basics and Fundamentals: T wave inversions and the importance of precordial lead placement
ECG Weekly Workout with Dr. Amal Mattu
HPI
A 32-year-old female with a PMHx of obesity and tobacco use presents to the emergency department with 1 day of sharp midsternal chest pain. Pain is intermittent, non-radiating, and associated with occasion shortness of breath. She appears anxious and her chest pain is found to be partially reproducible on exam. The following ECG is obtained:
Before watching the video, look closely at this ECG and ask yourself:
- What is your full ECG interpretation?
- What is your differential for the T wave inversions seen in leads V1 & V2?
- How would you work up this patient in the emergency department?
