STAT ECG Diagnoses: identification of acute coronary occlusion myocardial infarction in patients with bundle branch blocks

ECG Weekly Workout with Dr. Amal Mattu


A 70-year-old woman is brought into the ED by EMS with shortness of breath, weakness, and hypotension. The following prehospital ECG is obtained: 

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

  1. What is the heart rate and rhythm?
  2. What is the most likely diagnosis?
  3. Would you manage this patient?