STAT ECG Diagnoses: the challenge of evaluating for occlusion MI in patients with left ventricular hypertrophy (LVH)

ECG Weekly Workout with Dr. Amal Mattu


A 59-year-old man presents to the ED with intermittent exertional chest pain for the past 2 days. The following ECG is obtained:

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

  1. What voltage and ST segment abnormalities do you notice?
  2. Is there a reliable way to diagnose anterior STEMI in patients with LVH?
  3. Would you activate the cath lab?