Wide complex tachycardia

Weekly Workout December 27, 2021
STAT ECG Diagnoses: ventricular tachycardia mimics in patients with ST segment elevation

A 30-year-old woman calls 911 for chest discomfort, shortness of breath, and a rapid heart rate. On arrival, medics find her tachycardic and tachypneic with a normal blood pressure. The…

Weekly Workout August 23, 2021
STAT ECG Diagnoses: a review of the differentials to consider when dealing with wide complex tachycardias and when antiarrhythmic medications can be harmful

A 41-year-old female is brought into the ED by EMS unresponsive with unknown past medical history. She is found to be febrile, normotensive (126/78), tachycardic (120s-150s), tachypneic (30s with a…

Weekly Workout March 15, 2021
Wide Complex Tachycardias: What is the Lewis lead and how you can use modified ECG leads to help make the diagnosis

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:

Weekly Workout November 16, 2020
Literature Review: pearls and pitfalls in the ECG diagnosis for ventricular tachycardia

A 45-year-old with no known past medical history presents to the ED with palpitations. She is hemodynamically stable. The following ECG is obtained:

Weekly Workout January 28, 2019
STAT ECG Diagnoses: REALLY wide complex tachycardia

A patient is brought into the emergency department with palpitations, weakness, and shortness of breath. She has a normal blood pressure. The following ECG is obtained:

Weekly Workout August 20, 2018
Intermittent runs of nonsustained ventricular tachycardia

A 48-year-old man presents to the ED with 3-4 days of palpitations. The patient has a stable blood pressure but is found to have new onset atrial fibrillation with RVR….

Weekly Workout April 24, 2017
Wide Complex Tachycardias: ventricular tachycardia (VT) mimics

HPI:  A 71-year- old woman with PMHx of HTN and “irregular heart rhythm” presents to the ED with weakness, lightheadedness, and occasional palpitations. She does not know the name of her medications…

Weekly Workout February 6, 2017
Differential Diagnoses: must know causes of wide QRS complexes

A 15-year-old girl presents to the ED listless and tremulous. She is unable to provide a reliable history. Her heart rate is around 150 bpm and she is mildly tachypneic…

Weekly Workout November 21, 2016
Wide Complex Tachycardias: considerations in unstable patients with discussion on an important VT mimic

A 78-year-old woman called EMS for palpitations and mild chest pressure. She was shocked 4 times prior to arrival for a wide complex tachycardia and waxing and waning mental status…

Weekly Workout November 6, 2016
ECG Basics & Fundamentals: electrical cardioversion of an unstable regular wide complex tachycardia

A 50-year-old man is brought to the ED with a regular wide complex tachycardia (RWCT) shown below. He is pain free with a normal blood pressure and mental status. His…

Weekly Workout July 4, 2016
Does response to adenosine rule out ventricular tachycardia?

A 54-year-old man with no PMHx presents to the ED with palpitations. He is noted to be tachycardic but is stable with a normal blood pressure. The following ECG is…

Weekly Workout April 24, 2016
ECG Basics & Fundamentals: inspecting T waves closely, looking for buried P waves

A 65-year-old man presents to the ED with malaise, cough, and vomiting. The following ECG was obtained:

Weekly Workout April 18, 2016
STAT ECG Diagnoses: Post-cardiac arrest ECG with this pattern, what is the most likely cause of arrest and would you activate the cath lab?

An elderly male with no known past medical history is brought into the ED via EMS s/p cardiac arrest. He was found to be unresponsive with a weak pulse at…

ECG Tags