ECG 137

ECG 137 A 45-year-old man was admitted to hospital with a history of 2 h of ischaemic chest pain. His blood pressure was 150/80, and there were no signs of heart failure. What does his ECG show, and how would you treat him?

Answer 137

The ECG shows:

• Broad complex tachycardia, rate 180/min

• No P waves

• Right axis deviation

• QRS complex duration about 140 ms

• Right bundle branch block (RBBB) pattern, with the R peak taller than the R¹ peak in lead V₁

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