Literature Review: diagnosis of acute coronary occlusion myocardial infarction in patients with ventricular paced rhythms

Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu


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:

  1. What conductions abnormalities do you notice?
  2. What is the significance of the ST segment abnormalities seen?
  3. Can occlusion MI be accurately diagnosed in patients with ventricular paced rhythms?
  4. Would you activate the cath lab?