STAT ECG Diagnoses: the significance of inverted U waves

ECG Weekly Workout with Dr. Amal Mattu


A 58-year-old man presents to the emergency department with acute onset chest pain and diaphoresis.  The following ECG is obtained on arrival:

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

  1. What ECG abnormalities do you notice?
  2. Do you see any U waves or terminal T wave inversions?
  3. Is this ECG predictive of ischemia to any specific coronary artery distribution?