STAT ECG Diagnoses: does the presence of a LBBB obviate the ability to diagnose occlusion MI?

ECG Weekly Workout with Dr. Amal Mattu

A 48-year-old man presents with 90 minutes of chest pain. He is hemodynamically stable and has a normal first troponin. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. How concerned are you for acute coronary occlusion?
  3. How would you manage this patient?