STAT ECG Diagnoses: using the ECG in cases of wide complex tachycardia to diagnose ventricular tachycardia (VT)

ECG Weekly Workout with Dr. Amal Mattu


A 25-year-old otherwise healthy woman with no significant PMHx presents to the ED with palpitations. The following ECG was obtained:

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

  1. What is the heart rate and rhythm?
  2. How can you reliably distinguish ventricular tachycardia from SVT with aberrant conduction using an ECG?