When ST Elevation Isn’t What It Seems

ECG Weekly Workout with Dr. Amal Mattu

HPI

A 30-year-old man with a history of coronary artery disease and heart failure with reduced ejection fraction (HFrEF) presents to the emergency department with acute chest pain and shortness of breath. His pulse oximetry at triage shows an oxygen saturation of 86%. The following ECG is obtained:

Before watching the video, ask yourself:

    1. Would you activate the cath lab with concern for inferior STEMI?
    2. What other ECG abnormalities are present?