Literature Review: non-ST segment elevation ACS

Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu


A 69-year-old woman with history of diabetes presents to the ED with radiating chest pressure associated with diaphoresis. Her initial ECG did not meet cath lab criteria but had non-specific abnormalities concerning for ischemia. Despite maximizing medical treatment, the patient has intractable chest pain and the following repeat ECG is obtained:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. Would you activate the cath lab?
  3. How would you treat this patient?