Bradydysrhythmia: when is it actually considered a complete heart block?

UMEM Potpourri ECG Cases with Dr. Amal Mattu


A 52-year-old man presents to the emergency department with chest pain associated with nausea and diaphoresis. The following ECG is obtained on arrival:

Before watching the video, look closely at this ECG and ask yourself:

  1. What is the rate & rhythm?
  2. Is there a complete heart block present?
  3. Would you activate the cath lab?