STAT ECG Diagnoses: epsilon waves in patient with syncope

ECG Weekly Workout with Dr. Amal Mattu


A teenage girl presents to the ED after brief syncope during sports activity. The following ECG is obtained:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What is your ECG differential for causes of syncope when the history and physical do not suggest a diagnosis?
  3. What is the most likely cause of this patient’s syncope?