Navigating a Very Abnormal QRS Axis with a Stepwise Approach

ECG Weekly Workout with Dr. Amal Mattu

HPI

A 44-year-old woman presents to the emergency department with vague complaints about shortness of breath. The following ECG is obtained at triage and brought to you for interpretation:

Before watching the video, ask yourself:

    1. Do you routinely use a stepwise approach to ECG interpretation?
    2. What are your differentials for the abnormal axis and poor R wave progression?
    3. What are your top considerations and next steps?