STAT ECG Diagnoses: the challenge of evaluating for occlusion MI in patients with left ventricular hypertrophy (LVH)
ECG Weekly Workout with Dr. Amal Mattu
HPI
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:
- What voltage and ST segment abnormalities do you notice?
- Is there a reliable way to diagnose anterior STEMI in patients with LVH?
- Would you activate the cath lab?