STAT ECG Diagnoses: causes of right axis deviation, and evaluation of ST segments in patient with right bundle branch block (RBBB)

ECG Weekly Workout with Dr. Amal Mattu


An 80-year-old man presents to an emergency department in Chile with chest pain radiating to the right shoulder and back. The following ECG is obtained on arrival and computer interpreted as sinus tachycardia with right axis deviation and STEMI:

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

  1. What is the rate & rhythm?
  2. What is your full ECG interpretation?
  3. Would you activate the cath lab?