Hyperacute T Waves: Distinguishing Early MI from Other Big T Wave Abnormalities

ECG Weekly Workout with Dr. Amal Mattu


HPI

A 64-year-old man with PMHx of HTN, DM, and tobacco use presents with central chest pain that radiates to his left arm. The following ECG is obtained on arrival:

Before watching this week’s workout, closely examine the ECG and ask yourself:

    1. Is this a STEMI or STEMI equivalent pattern?
    2. Would you activate the cath lab?