The value of obtaining a thorough history of presenting illness in patients with chest pain

ECG Weekly Workout with Dr. Amal Mattu


A 28-year-old man with no known past medical history presents to the emergency department with central chest pain after being elbowed in the chest while playing football. Pain radiates to the arm and is noted to worsen during and after exercise. 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. Is it possible to have an acute MI at 28 years of age with no known cardiac risk factors?
  3. What would you do next in the management of this patient?