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November EKG 2009 Answer Key

November 2009 EKG Case

A 70 year old man presents unconscious with a blood pressure of 100/60.  He has a history of diabetes and hypertension.

What does the EKG show and what is your diagnosis?

Rate:    155

Rhythm:  wide complex tachycardia

Axis:    left

PR:    no p waves seen

QRS:   bizarre wide complex, almost sine wave

ST:    no ST elevation

EKG Diagnosis: Ventricular tachycardia

Clinical Diagnosis:  Acute MI with Ventricular tachycardia

        • Also, consider hyperkalemia with bizarre almost sinusoidal wide complexes
        • This patient had serum potassium of 8.1 meq/l

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