Literature Review: outcomes for patients with STEMI presenting with nondiagnostic initial ECGs

Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu


A 45-year-old man presents to the ED with 1 hour of chest pain, shortness of breath, and diaphoresis. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. What is your differential for the T-wave inversion and ST-segment abnormality seen in aVL?
  3. What is the checkmark sign?
  4. How would you treat this patient?