Case 3

This 30 year old man with a history of asthma presented with six hours of worsening dyspnoea and wheeze that he had treated with repeated doses of inhaled bronchodilator. There is no past history of heart disease. 

ECG 1 0445

ECG 2 0744

  1. Describe the findings in the initial ECG  taken at 0445 hours and the findings in the second ECG taken at 0744 hours.

  2. What are your initial treatment options ?