HPI: A 55-year-old man presents to the ED after a witnessed seizure and is somnolent on arrival. He wakes up enough to mumble answers to a few questions but then becomes somnolent again. He has a “shaking spell” in the ED that lasts for 5-10 seconds. The following ECG is obtained:
Before watching this week’s video, ask yourself these questions:
- What ECG abnormalities do you notice?
- What is your differential of possible causes?
- What are the life threatening causes of “seizures” that can be diagnosed by ECG?