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:

  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




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

Notes: Questions for Amal? Email him at [email protected] or find him on Twitter @amalmattu.

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