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

ECG Weekly Workout with Dr. Amal Mattu


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?