ECG Basics & Fundamentals: dynamic ischemic ECG changes in ACS

ECG Weekly Workout with Dr. Amal Mattu


A 41-year-old male with no past medical history is brought into the ED with bilateral shoulder pain that has been intermittent throughout the day. On arrival the pain is mild, comes and goes. Multiple ECG’s were obtained during episodes of pain and also when pain free:

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

  1. What ECG abnormalities do you notice?
  2. Are there any dynamic ischemic changes that you notice when comparing the ECGs?
  3. What is your differential diagnosis and how would you treat this patient?