ECG Basics & Fundamentals: how reliable are reciprocal changes in the diagnosis of STEMI and identication of acute coronary occlusion MI?

ECG Weekly Workout with Dr. Amal Mattu


A 35-year-old man is brought into the ED by ambulance for chest pain. The following prehospital ECG is obtained:

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

  1. What do you think about the ECG computer interpretation?
  2. What ECG abnormalities do you notice?
  3. Do anterior STEMI’s reliably cause reciprocal changes?