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ECG Case #16

You are the house officer on call for the telemetry floor and a nurse calls you with an abnormal rhythm seen on telemetry. The patient was admitted 2 days previously for a congestive heart failure exacerbation. He denies any symptoms including chest pain, palpitations, lightheadedness, or shortness of breath. Vital signs are normal. You ask for a 12-lead ECG which is below:


Question #1

What are the ECG findings?


Question #2

What is the electrophysiologic mechanism responsible for the findings in the above ECG?



You go back to sleep and are soon called again for another abnormal rhythm seen on the same patient which is intermittently occurring. The patient is still asymptomatic and vital signs are still normal. Another 12-lead ECG is obtained which is below:


Question #3

What are the ECG #2 findings?


Question #4

What is the treatment for this abnormality?



Continue to case #17



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