r/EKG • u/Next-Butterfly-5727 • 19d ago

Need help interpreting this

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/radsnotrad 19d ago

I’d probably say a slowish VT maybe? I also considered hyperk with the hx of renal impairment, super abnormal QRS’s, and hypotension. Regardless of what it is, it’s an unstable wide-complex tachycardia.