STAT ECG Diagnoses: new T wave inversion or ST segment depression in aVL

ECG Weekly Workout with Dr. Amal Mattu


A 66-year-old man presents to the ED with retrosternal chest pain that is associated with nausea. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. What signs of cardiac ischemia are present?
  3. Assuming this patient progresses to have a STEMI, is there any ECG abnormalities on this ECG that can help predict the location of infarction?