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 amalmattu@comcast.net or find him on Twitter @amalmattu.

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