STAT ECG Diagnoses: high left ventricular voltages and ‘dagger like’ Q waves

ECG Weekly Workout with Dr. Amal Mattu


A 20-year-old man presents with nonspecific chest pain. His history and physical exam are unremarkable. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. What is your differential for the Q waves seen in the inferior leads?
  3. What is the most likely diagnosis and confirmatory test of choice?