STAT ECG Diagnoses: considerations in patients with altered mental status and seizures

ECG Weekly Workout with Dr. Amal Mattu


A 39-year-old male with no significant PMHx presents to the ED after a seizure. He is post-ictal on arrival. Vital signs are normal, and the following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. What do you look for on the ECG of patients with new onset seizures?
  3. What is the most likely cause and suggested treatment?