STAT ECG Diagnoses: ventricular tachycardia mimics in patients with ST segment elevation
ECG Weekly Workout with Dr. Amal Mattu
A 30-year-old woman calls 911 for chest discomfort, shortness of breath, and a rapid heart rate. On arrival, medics find her tachycardic and tachypneic with a normal blood pressure. The following prehospital ECG is transmitted to the ED, and they ask for recommendations on initiating treatment of this wide complex tachycardia:
Before watching the video, look closely at this ECG and ask yourself:
- What is your differential for regular wide complex tachycardias?
- What is the most likely cause of this wide complex rhythm?
- What recommendations would you give to EMS prior to arrival?