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ECG Basics | ECG Review | ECG Archive | ECG Cases | ECG Quizes ECG Case #46 A 72 year old male with a history of tobacco use presents with increasing shortness of breath and lower extremity edema. His blood pressure is 120/80, heart rate 80, respirations 22, and oxygen saturation 88% on room air. His physical examination reveals decreased breath sounds with some expiratory wheezing, distant heart sounds without any murmurs/rubs/gallops, elevated jugular venous pressures with hepatojugular reflux, and 2_ lower extremity pitting edema bilaterally. Labs reveal an elevated CO2 level and slightly elevated BNP. An echocardiogram reveals normal left ventricular size and function. His ECG is below: Question #1 What are the ECG findings? Question #2 What is his most likely diagnosis? 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | 31 | 32 | 33 | 34 | 35 | 36 | 37 | 38 | 39 | 40 | 41 | 42 | 43 | 44 | 45 | 46 | 47 | 48 | 49 | 50 |
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