Amal Mattu’s ECG Case of the Week – February 7, 2022

HPI: A 50-year-old male is brought into the ED with palpitations and is found to have a regular wide complex tachycardia. He is treated with synchronized electrical cardioversion and immediately goes into ventricular fibrillation. The initial ECG and rhythm strip during cardioversion is shown below:

 

 

Case ECG

 

 

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

  1. What is the most likely rhythm diagnosis based on the 12-lead ECG?
  2. What is the most likely reason for deterioration into ventricular fibrillation after cardioversion?
  3. What would be your next step in management?

 

 

Key Teaching Points
CME Questions

 

Kudos: Thanks to Drs. David Zira, Dorothy Zira, Anna Gainska, & Olga Bogacz for sharing their cases this week!

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

 

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