Wide Complex Tachycardias: beware the many mimics of ventricular tachycardia

ECG Weekly Workout with Dr. Amal Mattu


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?