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:

  1. What is your differential for this wide complex rhythm?
  2. 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.