ECG Weekly

Weekly Workout · #158 · January 8, 2018

Literature Review: lumen stenosis doesn’t matter in ACS…It’s all about plaque vulnerability!

HPI

HPI: A 50-year-old male presents to the ED with concerning chest pain while driving home after an appointment with his cardiologist. He reports having an exercise stress test earlier in the morning that was normal, and states he was cleared to go home. The following ECG is obtained:

Case ECG


Before watching this week's video, ask yourself these questions:
  1. What ECG abnormalities do you notice?
  2. What is your differential diagnosis?
  3. Is it possible for this patient to have an ACS after a negative stress test earlier in the day?How would you treat this patient?

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