Literature Review: diagnosis of acute coronary occlusion myocardial infarction in patients with ventricular paced rhythms
Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu
HPI
A 65-year-old woman presents to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:
Before watching the video, look closely at this ECG and ask yourself:
- What conductions abnormalities do you notice?
- What is the significance of the ST segment abnormalities seen?
- Can occlusion MI be accurately diagnosed in patients with ventricular paced rhythms?
- Would you activate the cath lab?
