ECG Basics & Fundamentals: ventricular rhythms to be aware of in patients with cardiac ischemia

ECG Weekly Workout with Dr. Amal Mattu


A 50-year-old man presents to the ED with ischemic chest pain concerning for acute MI. During his work up and observation, he clinically improves but is noted to have a change of rhythm concerning for ventricular ectopy. The following ECG is obtained during one of these episodes:

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

  1. What is the rhythm?
  2. What is the most likely cause?
  3. How would you manage this patient?