STAT ECG Diagnoses: using ectopy and premature ventricular contractions (PVCs) to diagnose occlusion MI

ECG Weekly Workout with Dr. Amal Mattu


A 62-year-old woman is brought to the ED by EMS with severe chest pain, shortness of breath, nausea, and diaphoresis. The following EMS ECG was obtained:

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

  1. What is the rhythm?
  2. What ST segment abnormalities do you notice?
  3. Would you activate the cath lab based on this ECG?