ECG Basics & Fundamentals: can torsades cause seizures?

ECG Weekly Workout with Dr. Amal Mattu


A 55-year-old man presents to the ED after a witnessed seizure and is somnolent on arrival. He wakes up enough to mumble answers to a few questions but then becomes somnolent again. He has a “shaking spell” in the ED that lasts for 5-10 seconds. 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 of possible causes?
  3. What are the life threatening causes of “seizures” that can be diagnosed by ECG?