The perfect wide complex tachycardia algorithm…does not exist!

ECG Weekly Workout with Dr. Amal Mattu


A 55-year-old man presents to the ED with chest tightness and palpitations. He is noted to have dyspnea and diaphoresis with a normal blood pressure. The following ECG is obtained:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What are your top two differential diagnoses?
  3. What is the best initial treatment?