Hyperacute T waves and serial ECGs in early ACS, AV blocks, and more on sustained vs. nonsustained ventricular tachycardia

UMEM Potpourri ECG Cases with Dr. Amal Mattu


An 80-year-old man presents to the emergency department after an episode of syncope. The following ECG is obtained:

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

    1. What differentials should be considered when interpreting the ECG of patients with possible cardiac syncope?
    2. What is your full ECG interpretation?
    3. How would you approach the management of a patient with this rhythm?