Recent University of Maryland Medical Center Cases (Part V)

UMEM Potpourri ECG Cases with Dr. Amal Mattu


HPI

A 67-year-old man presents with profound generalized weakness and inability to move his extremities or get out of bed. He has a history of hypertension, chronic kidney disease, substance use disorder, and cardiomyopathy with a ventricular pacemaker. He is found to be bradycardic and the following ECG is obtained:

Before watching this week’s workout, carefully review the ECG and consider the following:

    1. What is your formal ECG interpretation?
    2. What is your differential for the wide QRS complexes seen?
    3. How would you treat this rhythm?