Respect the T Wave: Early Clues to Cardiac Ischemia

ECG Weekly Workout with Dr. Amal Mattu


HPI

A 54-year-old man presents to the emergency department with chest pain concerning for an acute coronary syndrome. An initial ECG is performed on arrival and appears normal, the following repeat ECG is obtained 30 minutes later for ongoing pain: 

Before watching this week’s workout, closely examine the ECG and ask yourself:

    1. How would you interpret this ECG?
    2. Are there any concerning ST segment or T wave abnormalities?
    3. Would you activate the cath lab?