ECG Case 057

Middle-aged patient presenting with chest pain and diaphoresis. Becomes unresponsive during recording of ECG. Interpret the ECG.

Describe and interpret this ECG


Main Abnormalities

This is a fascinating ECG with multiple abnormalities:


While most rhythm strips are recorded simultaneously with the 12-lead ECG, some older machines may record the rhythm strip after the other 12 leads.

Consider this as a possibility if your rhythm strip doesn’t seem to “line up” with the rest of the ECG.

TOP 100 ECG Series

Emergency Physician in Prehospital and Retrieval Medicine in Sydney, Australia. He has a passion for ECG interpretation and medical education | ECG Library |

One comment

  1. I’m having a hard time diagnosing the ECG after beat 8. You state it goes into Vflutter for a while but the rest of the beats particularly those that appear in V2, V3, V4, V5 and V6 look like TdP. Could you elaborate on this. I understand the rhythm strip being Vfib, makes sense but the Vflutter before Vfib is kind of confusing. Thank you in advance for your attention this it is very much appreciated.


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