STAT ECG Diagnoses: the great immitator strikes again in a case of wide complex tachycardia
ECG Weekly Workout with Dr. Amal Mattu
HPI
A 48-year-old female presents to the ED 2 days after Thanksgiving with complaints of severe generalized weakness, palpitations, and chest discomfort. She is noted to be tachycardic and tachypneic at triage with a blood pressure of 105/60. The following ECG is obtained:
Before watching this week’s video, ask yourself these questions:
- What ECG abnormalities do you notice?
- What is the most likely cause of the wide complex tachycardia seen?
- What would your initial management choice be?
