Wide Complex Tachycardias: differentiation between the four different types of ventricular tachycardia & the importance of recognizing arrhythmias in tachy-brady syndromes

ECG Weekly Workout with Dr. Amal Mattu


A 73-year-old woman is found by family in bed with decreased level of consciousness. She is brought into the ED for evaluation and is found to have bradycardia and episodic tachycardia. The following ECGs are obtained:

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

    1. What is your full interpretation for the first ECG?
    2. What is your full interpretation for the second ECG?
    3. How would you manage this patient?