ECG Basics & Fundamentals: reflux, burping, and improvement with antacids…can’t be cardiac, right?

ECG Weekly Workout with Dr. Amal Mattu


A 71-year-old man with history of diabetes & HTN presents to the ED with chest discomfort and burping over the past few days. The discomfort has increased over the past hour. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. Would you activate the cath lab based on this ECG and story?
  3. Assuming cardiology was consulted and did not think the ECG met cath lab criteria, what would you do next in the management of this patient?