ECG Basics & Fundamentals: reliability of computer interpreted ECGs, can the ECG machine be trusted to get it right?

ECG Weekly Workout with Dr. Amal Mattu


A 59-year-old man with PMHx of severe hypertension presents to the ED with sharp and positional chest wall pain after a mechanical fall. He denies exertional worsening of pain, or associated dyspnea or diaphoresis. 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 for this patient?
  3. How reliable and accurate is the ECG computer interpretation?