Amal Mattu’s ECG Case of the Week – January 13, 2020

HPI:  A 48-year-old female presents to the ED 2 days after Thanksgiving with complaints of severe generalized weakness, palpitations, and chest discomfort. She is noted to be tachycardic and tachypneic at triage with a blood pressure of 105/60. The following ECG is obtained:

Case ECG

Case 263


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

  1. What ECG abnormalities do you notice?
  2. What is the most likely cause of the wide complex tachycardia seen?
  3. What would your initial management choice be?



Key Teaching Points


CME Questions





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

Kudos: Big thanks to Drs. Eric Friedman & Sara Manning for sharing their cases this week.

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