ECG Case 059

57-year old man with ROSC following VF arrest. Interpret the ECG.

Describe and interpret this ECG


Main Abnormalities

This patient had suffered a cardiac arrest in the context of severe hypertrophic cardiomyopathy and long QT syndrome.

(NB. ~1/3 of patients with HOCM will have some evidence of WPW on their ECG).

Can you guess what happened next?

The patient had a further TdP cardiac arrest!

This was treated with IV magnesium and potassium, with restoration of sinus rhythm.

This interesting case is discussed in Cardiovascular Curveball 003

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 |

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