STAT ECG Diagnoses: how identification of ECG signs of early ischemia can effect disposition decisions in the emergency department

ECG Weekly Workout with Dr. Amal Mattu

An elderly male presents to the ED with 2 hours of chest pain concerning for cardiac ischemia. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. What are the earliest signs of cardiac ischemia on the ECG?
  3. Initial troponin is normal, but the patient continues to be symptomatic. What is the next best step in management?