Wide Complex Tachycardias: when suspected ventricular tachycardia is too wide and too slow

ECG Weekly Workout with Dr. Amal Mattu

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HPI

A 56-year-old man with PMHx of HTN, DM, PVD, and ESRD on dialysis presents to the ED with dyspnea. The following ECG was obtained on arrival:

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

1. What ECG abnormalities do you notice?
2. What is the underlying heart rate and rhythm?
3. What is a typical heart rate and QRS width in patients with ventricular tachycardia?
4. How would you treat this patient?