Differential DIagnoses: tall R wave in lead V1

ECG Weekly Workout with Dr. Amal Mattu


An 80-year-old man is brought in by ambulance to the ED for chest pain and dyspnea. He looks sick on exam and is found to be hypotensive, tachycardic, and tachypneic. 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 your differential?
  3. What is the best initial treatment?