STAT ECG Diagnoses: important considerations in hypotensive patients with acute cardiac ischemia

ECG Weekly Workout with Dr. Amal Mattu

HPI

A 59-year-old man with no significant past medical history presents to the emergency department with chest pain, nausea, and shortness of breath for 1 hour. He appears diaphoretic on arrival and is found to be bradycardic. The following ECG is obtained:

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

    1. What is the heart rate and rhythm?
    2. Does this ECG meet STEMI criteria and if so which type?
    3. How would hypotension change medical management of patients with this ECG pattern?