Differential Diagnoses: supraventricular tachycardia with ST segment elevation in aVR

ECG Weekly Workout with Dr. Amal Mattu


A 57-year-old woman presents to the ED with palpitations and dyspnea. She has a prior history of having an elevated heart rate but has never been formally diagnosed with any specific tachydysrhythmia. The following ECG is obtained:

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

    1. What ECG abnormalities do you notice?
    2. What is the rhythm?
    3. What is your differential diagnosis and how would you treat this patient?