STAT ECG Diagnoses: the definition of electrical storm and what you need to know about it

ECG Weekly Workout with Dr. Amal Mattu


A 58-year-old man with PMHx of cardiomyopathy (EF ~30%) presents to the ED with intermittent episodes of palpitations and near syncope. The following ECG was obtained during an episode:

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

  1. What is the rate and rhythm?
  2. What is your initial approach to management, and what would you do if your initial management/ACLS fails?
  3. What is the definition of electrical storm, and what potential causes should be always be considered?