ECG of the Week - 11th January 2015 - Interpretation

The following ECG is from an 88 yr old male with a known history of ischaemic cardiomyopathy. He presented complaining of palpitations and dizziness for the preceding hour.

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Rate:

• 196 bpm

Rhythm:

• Regular

Axis:

• Right Axis Deviation

Intervals:

• QRS - Prolonged (140ms)

Segments:

• Discordant ST segment change

Additional:

• Positive precordial concordance
• Absence of typical BBB pattern

Interpretation:

• Ventricular Tachycardia
• Patient features
• Elderly
• Known ischaemic cardiomyopathy
• ECG Features
• Broad complex tachycardia
• Absent typical BBB morphology
• Precordial concordance

What happened ?

The patient underwent successful DC cardioversion and was admitted under cardiology team. Find out what happened to this patient over the next 2 weeks.

References / Further Reading

Life in the Fast Lane

• VT
• VT vs SVT

Textbook

• Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.