Potpourri of cases: generic polymorphic ventricular tachycardia vs. torsades de pointes, regularized atrial fibrillation, and much more!

ECG Weekly Workout with Dr. Amal Mattu


A 60-year-old man presents to the emergency department with generalized weakness and intermittent palpitations. Vital signs are normal on arrival. The following ECG is obtained during an episode of palpitations:

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

  1. How is generic polymorphic ventricular tachycardia differentiated from torsades de pointes?
  2. How would you manage this patient?