Literature Review: 2022 ACC Expert Consensus Decision Pathway on the Evaluation and Disposition of Acute Chest Pain in the Emergency Department Highlights

Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu


HPI

A 60-year-old man is brought into the emergency department by EMS for acute onset chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained on arrival:

Before watching the video, look closely at this ECG and ask yourself:

  1. What is your formal EGC interpretation?
  2. Does this ECG meet STEMI criteria?
  3. How urgently should this patient receive angiography based on the most recent ACC expert consensus recommendations?