STAT ECG Diagnoses: activate the cath lab or get an urgent cardiology consult?

ECG Weekly Workout with Dr. Amal Mattu


A 65-year-old woman is brought in by EMS with chest heaviness and mid-scapular pain for the past two hours. She received Aspirin and Nitroglycerin en route and arrives asymptomatic. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. Would you activate cath lab or get an emergent cardiology consultation on this asymptomatic patient?