Dr. Mattu walks us through how to read an abnormal appear ECG and not miss the subtle MI. He recommends a logical, stepwise approach. By considering the differential of each abnormality seen you can begin to understand what is happening with the pt's heart. Finally, apply the filter of your final diagnosis and look for the subtle clues to ischemia.
1) Rate and Rhythm
Some differentials worth reviewing noted below.
Key definition: LAFB + RBBB = Bifascicular block
Our thanks to Dr. Tim Davie for assembling the Copa Cardiogram each week. Please follow this link to get to spreadsheet of all Copa Cardiograms.
Our favorite ECG Resources