Differential Diagnoses: must know cardiac causes of syncope

ECG Weekly Workout with Dr. Amal Mattu


HPI

A 22-year-old man presents to the ED after syncope. He reports walking around and experiencing chest discomfort and shortness of breath prior to the episode. He feels anxious on arrival with no active chest pain or shortness of breath. The following ECG is obtained:

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

    1. What ECG abnormalities do you notice?
    2. What cardiac causes do you commonly screen for when interpreting the ECG of patients with syncope?
    3. What is the most likely diagnosis?