STAT ECG Diagnoses: right ventricular hypertrophy criteria, electrical alternans vs. respiratory variation, and much more

UMEM Potpourri ECG Cases with Dr. Amal Mattu


HPI

An ill appearing patient arrives to the emergency department in extremis and history is limited. The following ECG is obtained:

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

  1. What is the QRS axis?
  2. What is your differential for the ST segment abnormalities seen?
  3. What is the most likely diagnosis?