STAT ECG Diagnoses: review of the causes of T wave inversions and detailed explanation of Wellens syndrome
ECG Weekly Workout with Dr. Amal Mattu
HPI
A young African American male who appears to be in his mid-20s is brought into the ED for decreased level of consciousness. There is some concern by EMS for suspected substance abuse. Exam and arrival vitals are non-diagnostic and reassuring. The following ECG is obtained with no priors available for comparison:
Before watching the video, look closely at this ECG and ask yourself:
- What is your differential diagnosis for the T wave abnormality seen?
- What is your differential diagnosis for the ST segment elevation seen?
- Would you activate the cath lab?
