Amal Mattu’s ECG Case of the Week – November 30, 2015

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:

Case ECG

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

  1. What ECG abnormalities do you notice?
  2. What is your differential of possible causes?
  3. What are the life threatening causes of “seizures” that can be diagnosed by ECG?


Case Interpretation

Review Key Teaching Points



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

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