Amal Mattu’s ECG Case of the Week – January 12, 2015 – ECG Weekly

Amal Mattu’s ECG Case of the Week – January 12, 2015

HPI: 64-year-old male smoker with a Hx of HTN, DM, COPD presents with lightheadedness and chest tightness. He has had flu like symptoms for the past week, that have been getting progressively worse, with vomiting, dyspnea, and a syncopal episode. He thinks, “It’s my COPD”.

Vitals: HR-80s, BP-100/50, RR-24, SpO2-95%, afebrile.

Exam: Non-toxic, looks uncomfortable. Slight wheezing, regular heart rate with no m/r/g. Otherwise normal.

Case ECG

Before watching this week’s video, ask yourself these questions:

What is your differential for this wide complex rhythm?
Would you activate the cath lab based on this ECG?

Case Interpretation

Review Key Teaching Points

Kudos:

Thanks to Dr. Jon Kenyon (Kaiser Permanente, San Francisco) for sending this weeks case!

Notes: Questions for Amal? Email him at amalmattu@comcast.net or find him on Twitter @amalmattu.

By wpadmin| January 12th, 2015|7 Comments

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