You are reviewing an 80 year old man who has collapsed.
Questions:
- Interpret the ECG
- Describe your further management
Emergucate
Emergency Medicine Bite-Sized Basics
You are reviewing an 80 year old man who has collapsed.
Questions:
Sinus rhythm at less than 100bpm.
Broad complex – consistent with RBBB.
Also LAD is present consistent with left anterior fasicular block. Therefore Bifasicular block.
I note diffuse TWI anterolaterally and maybe STE inferiorly though not typical STE.
I suspect this patient has had some form of ischaemic event or maybe went in a trifasciular block and collapsed from this asshythmia.
Aspirin load. Chase trop. ECG to exclude CCF and other causes. Will likely need admission for 24/24 telemetry.