ECG Basics and Fundamentals: the earliest evidence of cardiac ischemia on the ECG and when to obtain serial ECGs

ECG Weekly Workout with Dr. Amal Mattu

A 68-year-old man is brought into the emergency department for acute chest pain radiating to the back. He appears very uncomfortable and is hypertensive on arrival. A CT angiogram is obtained and rules out aortic dissection or a large pulmonary embolism. The following ECG was obtained on arrival:

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

  1. Are there any signs of acute cardiac ischemia?
  2. What would you do next?