STAT ECG Diagnoses: considerations with the heart rate is way too fast in patients with tachyarrhythmias

ECG Weekly Workout with Dr. Amal Mattu


A 29-year-old male with no significant known PMHx presents to the ED with palpitations. He is found to be markedly tachycardic on arrival. The following ECG is obtained:

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

  1. What is the heart rate and underlying rhythm?
  2. How would you manage a hemodynamically stable patient with this rhythm?
  3. How would you manage a hemodynamically unstable patient with this rhythm?