HPI:  A 45-year-old man with a history of severe cardiomyopathy presents with palpitations. The following ECG is obtained:

Case ECG

 

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

  1. What is your differential for this narrow complex regular tachycardia?
  2. What is the rhythm?
  3. What supplemental leads can help you more accurately diagnose this rhythm?

 

 

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 Dr. Dominic Williams, Erik Witt, & Bill Brady for sharing their cases this week!