Case 31: A 77-Year-Old Man in the Emergency Department
History
Diagnosis
ECG 2
ECG 2 Diagnosis
History
A 77-year-old man is presenting to the emergency department for episodes of severe weakness and near-syncope during the past 24 hours:
Diagnosis
- Atrial flutter with complete heart block
- Escape wide QRS rhythm, with right bundle branch block pattern
- Ventricular rate 30/min
ECG 2
A pacemaker is implanted:
ECG 2 Diagnosis
- VVI Pacing
- Underlying coarse atrial fibrillation, with paced ventricular rhythm, rate 70/min
ECG ID: E562