EMS ECGs: common mimics of acute coronary syndrome (ACS) and STEMI

Baltimore City EMS Cases with Dr. Amal Mattu


A 73-year-old male is being transported by EMS to your ED for acute onset chest pain. He has a systolic blood pressure of 80. A prehospital ECG is obtained and transmitted:

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?