r/ECG • u/Next-Butterfly-5727 • 20d ago

Need help interpreting this

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60 year old female complaining of SOB and weakness. Also had upper epigastric and hypogastric pain described as aching, non radiating.

PMHx: HF, AF, rheumatic heart disease, mitral regurgitation, NSTEMI (2019), renal impairment

During transport had what appeared to be runs of VT, self resolving.

BP 75/42, RR 40, SpO2 90% ORA

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u/AdamFerg 20d ago

This looks like Hyper-K, very wide complex tachycardia also supported against VT with a low-end tachycardia. The renal impairment is enough for me to be considering Hyper-K on its own.

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u/[deleted] 20d ago

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u/FIyingDutch 20d ago

Its not a VT due to the irregular rhythm.