A specific tachyarrhythmia with an excellent prognosis

ECG Weekly Workout with Dr. Amal Mattu


A 79-year-old man presents to the ED with intermittent episodes of decreased level of consciousness. He is placed on continuous 12-lead cardiac monitoring during his evaluation and a monitor alarm indicates polymorphic ventricular tachycardia. The following ECG is obtained on from the cardiac monitor:

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

  1. What ECG abnormalities do you notice?
  2. What type of ventricular tachycardia does this ECG show?
  3. What is the next best step in management of this patient?