The Bix rule in narrow complex tachycardia

ECG Weekly Workout with Dr. Amal Mattu

HPI

A 63-year-old man is brought in by EMS to the ED with palpitations. The following prehospital ECG is obtained:

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

    1. What ECG abnormalities do you notice?
    2. What are 3 possible differentials for this narrow complex tachycardia?
    3. How would you treat this patient?