Bradyarrhthmias: considerations in unstable patients with discussion on an important causes of refractory bradycardia

ECG Weekly Workout with Dr. Amal Mattu


 A 42-year-old woman presents to the ED with decreased level of consciousness after a seizure. She has no obvious signs of trauma, and vitals signs are normal except for marked bradycardia. The following ECG is brought in by EMS:

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

  1. What ECG abnormalities do you notice?
  2. What’s your differential in patients with bradycardia and seizures?
  3. What is your suspected diagnosis and the next best step in management?