ECG of the Week – 30th October 2019

You are reviewing the ECG of an 82 year old man who has had an episode of syncope after a herald of spinning and dizzyness. He has had similar symptoms for the last 4 days, particularly when getting up out of bed.

Questions:

  1. Interpret the ECG.
  2. Whilst in ED an emergency alarm is activated for another episode of collapse whilst on telemetry but the nurse can’t find a pulse. His ECG is as below. How would you manage him further?

Question 2 ECG: