STAT ECG Diagnoses: a safe approach to the evaluation of patients with diffuse ST segment elevation

ECG Weekly Workout with Dr. Amal Mattu


A 24-year-old woman presents to the emergency department with acute chest pain and shortness of breath. Pain is described as progressively worsening substernal chest pressure. She has a history of cigarette smoking without any other known cardiac risk factors. Initial vital signs and exam are normal. The following ECG is obtained on arrival:

Before watching the video, look closely at this ECG and ask yourself:

  1. What signs of acute cardiac ischemia are present?
  2. What is your full ECG interpretation?
  3. Would you activate the cath lab?