Amal Mattu’s ECG Case of the Week – October 2, 2017

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?



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