VT mimics

Results:
Weekly Workout March 31, 2025
Unrecognized Killers in Emergency Electrocardiography

A 42-year-old man presents with fever, cough, shortness of breath, and vomiting. He appears toxic and dehydrated on arrival with suspected severe sepsis from multilobar pneumonia. He is later intubated…

ECG STAT March 28, 2025
Ventricular Tachycardia (VT) Mimics

Key Points Initial Assumption: Any wide (QRS >120 ms), regular tachycardia should be considered ventricular tachycardia (VT) until clearly proven otherwise. VT Characteristics: VT generally has a ventricular rate of…

Weekly Workout February 10, 2025
2025 In-Training Exam Preparation (Part I/III)

It’s safe to assume that board exams will test your ability to diagnose and manage wide complex tachyarrhythmias. Here is a challenging wide complex rhythm in a patient with palpitations…

Weekly Workout June 17, 2024
Shock first and ask questions later?

An elderly woman with a past medical history of hypertension, diabetes, and Parkinson’s disease presents to the ED with hip pain after a fall. Her blood pressure and mental status…

Weekly Workout November 20, 2023
Wide Complex Tachycardias: clues to VT mimics when the heart rate is too slow or the QRS complexes are too wide

An unknown aged female is being transported to the emergency department by EMS for altered mental status. She is agitated and slurring words. Vitals: 98/65, RR 24, HR 162.  The…

Weekly Workout November 6, 2023
Wide Complex Tachycardias: beware the many mimics of ventricular tachycardia

A 73-year-old woman with PMHx of HTN, DM, HLD presents to the emergency department with 2 days of vomiting, malaise, and indigestion with chest discomfort. The following ECG is obtained:

Weekly Workout August 7, 2023
Post-cardiac arrest ECGs: evaluation of ischemia, dysrhythmias, and their mimics

A 55-year-old man presents to the emergency department with nonspecific chest pain. 20 minutes into his evaluation he is found to be diaphoretic and unresponsive in cardiac arrest with ventricular…

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