Recent ECG Case Highlights from the University of Maryland (Part I)

UMEM Potpourri ECG Cases with Dr. Amal Mattu

HPI

A 64-year-old man is brought to the ED by EMS just after achieving return of spontaneous circulation following cardiac arrest. He received chest compressions, epinephrine, and was defibrillated prior to arrival. The following ECG is obtained immediately on arrival to the ED:

Before watching this week’s workout, review the arrival ECG carefully and consider:

    1. How reliable is the immediate post-arrest ECG for diagnosing true STEMI?
    2. What does current evidence suggest about early versus delayed cath in post-arrest patients without persistent ST elevation?
    3. Would you repeat the ECG at some specific time interval or activate the cath lab based on this ECG?