STAT ECG Diagnoses: when to cardiovert narrrow complex irregular tachycardias
ECG Weekly Workout with Dr. Amal Mattu
HPI
A 76-year-old woman presents to the ED with fever and signs of sepsis. She is found to be tachycardic, BP 80/45, RR 24, SpO2 94%, 38ºC. The following ECG is obtained on arrival with no prior ECGs available for comparison:
Before watching the video, look closely at this ECG and ask yourself these questions:
- What is the rhythm?
- What is your differential diagnosis and most likely cause?
- Would you cardiovert this patient?
