Wide Complex Tachycardias: beware the many mimics of ventricular tachycardia

ECG Weekly Workout with Dr. Amal Mattu


HPI

HPI: A 73-year-old woman with PMHx of HTN, DM, HLD presents to the emergency department with 2 days of vomiting, malaise, and indigestion with chest discomfort. The following ECG is obtained:

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

  1. What is the heart rate and rhythm?
  2. Are the QRS complexes narrow or wide?
  3. What is the most likely diagnosis?

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

  1. What is the heart rate and rhythm?
  2. Are the QRS complexes narrow or wide?
  3. What is the most likely diagnosis?