ECG Weekly

Weekly Workout · #121 · April 24, 2017

Wide Complex Tachycardias: ventricular tachycardia (VT) mimics

HPI

HPI:  A 71-year- old woman with PMHx of HTN and "irregular heart rhythm" presents to the ED with weakness, lightheadedness, and occasional palpitations. She does not know the name of her medications and history is otherwise limited. The following ECG is obtained:

Case ECG

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

    1. What ECG abnormalities do you notice?
    2. What is your differential for right axis deviation?
    3. What are a few of the most likely cause of this patient's wide complex tachycardia?
    4. What is the next best step in management of this patient?

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