Can the ECG be used to diagnose a specific type of paralysis?

ECG Weekly Workout with Dr. Amal Mattu


HPI

A 68-year-old man with a history of COPD, DM, HTN, A. fib, & CKD presents to the ED with severe weakness and is unable to move his arms or legs. There is no recent trauma and he is conscious and lucid. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice and what do you think is causing the patient’s paralysis?
  2. What’s the diagnosis?
  3. What is the treatment?