STAT ECG Diagnoses: are you activating the cath lab for a large STEMI or is this just early repolarization

ECG Weekly Workout with Dr. Amal Mattu


A 50-year-old man presents with intermittent increasing epigastric discomfort. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. Is this ECG most consistent with STEMI or early repolarization?
  3. How would you manage this patient?