ECG of the week 108
ECG case presentation
· Unconscious Patient 68 year old man
· History of a remote MI, was found by his family unconscious on the floor of his apartment. He had been well the morning of presentation.
· Prior to hospital arrival technicians faxed a 12-lead ECG to you (ECG 62A).
· Initial vital signs were notable for a tachycardia and hypotension,
· After appropriate therapy, vital signs stabilized.
· He was intubated prior to arrival.
· Upon admission to the emergency department, a repeat ECG is obtained (ECG 62B).
What is your interpretation of his initial ECG?
What arrhythmia diagnosis is suggested?
What clinical diagnosis is suggested in comparing the two tracings?
Source : Podrid’s Real-World ECGs