STAT ECG Diagnoses: REALLY wide complex tachycardia

ECG Weekly Workout with Dr. Amal Mattu


A patient is brought into the emergency department with palpitations, weakness, and shortness of breath. She has a normal blood pressure. 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 the rhythm?
  3. What do you think is the best initial treatment for this patient?
  4. What would you use if your initial treatment fails?