Is This a STEMI or STEMI Equivalent Pattern?

ECG Weekly Workout with Dr. Amal Mattu

HPI

A 51-year-old man presents to the emergency department with acute chest pain that has progressively worsened over the past 3 hours. Pain radiates to the jaw and is associated with diaphoresis and nausea. The following ECG is obtained:

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?