Wide Complex Tachycardias: clues to VT mimics when the heart rate is too slow or the QRS complexes are too wide

ECG Weekly Workout with Dr. Amal Mattu


An unknown aged female is being transported to the emergency department by EMS for altered mental status. She is agitated and slurring words. Vitals: 98/65, RR 24, HR 162.  The following ECG is transmitted to the hospital with request for recommendations:

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

  1. What is the heart rate and rhythm?
  2. What would you recommend?