Amal Mattu’s ECG Case of the Week – March 15, 2021

HPI:  A 60-year-old male presents to the ED with acute chest pain and lower extremity edema. He is noted to be tachycardic on arrival. The following ECG is obtained:



Case ECG



Before watching the video, look closely at this ECG and ask yourself these questions:

  1. What ECG abnormalities do you see?
  2. Is the rhythm most likely ventricular or atrial in origin?
  3. Are there any supplemental ECG leads that can help further distinguish the rhythm?



Key Teaching Points

CME Questions




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

Kudos: Big thanks to Drs. Abdulrahman Aldurra & Erik Witt for sharing their cases this week.


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