STAT ECG Diagnoses: ECG findings of cardiac syncope, what you need to look for what you can’t miss!

ECG Weekly Workout with Dr. Amal Mattu


A 55-year-old male with PMHx of COPD presents to the ED with dyspnea and chest pain. He is asymptomatic on arrival but reports two recent episodes of syncope without prodrome. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. What is your differential for the T wave inversions seen in V1-V3?
  3. What diagnosis should you consider in syncope when the history and physical are non-diagnostic?
  4. How would you manage this patient?