HPI:  A 50-year-old man is referred from clinic to the ED for chest tightness for the past 3 hours and a presumed new left bundle branch block. He is found to be hypotensive at 65/40. 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 for a wide QRS complex?
  3. How would you manage this patient?

 

 

Case Interpretation

Review Key Teaching Points

 

 

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

Kudos: Thanks toDrs. Tsao jian-hsiung, Kim Schofield, David Zira, George Allen, Naser Mohammed, Nicolás Pineda, & Jessica Mason for sharing cases this week!

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