STAT ECG Diagnoses: considerations in hypotensive STEMI patients

ECG Weekly Workout with Dr. Amal Mattu


A 72-year-old woman presents to the ED by EMS with chest pain. She was noted to have normal vital signs and an unremarkable physical exam and given aspirin and nitroglycerin prior to arrival. On arrival to the ED her blood pressure is 80/40. The following ECG was obtained:

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

  1. What ECG abnormalities do you notice?
  2. What is the cause of the patient’s hypotension?
  3. How would you treat this patient?