STAT ECG Diagnoses: differential diagnoses for low voltage QRS complexes and ventricular arrhythmias in patients with left ventricular assist devices (LVADs)
ECG Weekly Workout with Dr. Amal Mattu
HPI
An 82-year-old man is brought to the emergency department with confusion and decreased level of consciousness. He is noted to be hypotensive, bradycardic, hypothermic, and hypoglycemic. The following ECG is obtained:
Before watching the video, look closely at this ECG and ask yourself:
- What is the heart rate and rhythm?
- What is your differential diagnosis for the low voltage QRS complexes seen?
- What is the most likely diagnosis?
