STAT ECG Diagnoses: ECG findings of digoxin effect vs. digoxin toxicity

ECG Weekly Workout with Dr. Amal Mattu


HPI

A 57-year-old male with PMHx of DM, heart failure (on digoxin) and leukemia presents with lightheadedness and near-syncope. 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 is the rhythm? 
  3. How would you treat this bradyarrhythmia?