Literature Review: pearls and pitfalls in the ECG diagnosis for ventricular tachycardia
Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu
HPI
A 45-year-old with no known past medical history presents to the ED with palpitations. She is hemodynamically stable. The following ECG is obtained:
Before watching the video, look closely at this ECG and ask yourself these questions:
- What is your differential for regular wide complex tachycardias?
- Do you suspect this is VT or SVT with aberrant conduction (RBBB)?
- Are there any reliable ECG features that may help rule out VT?
- The patient is treated with adenosine which does not convert the rhythm, what would you do next?
