This ECG is from a 68 yr male who presented with 24 hours of dysponea and palpitations. No past medical history of note and he takes no regular medications.
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Things to think about
What are the key ECG features ?
What are the potential reversible causes for these features ?
How would you manage this patient ?
Ventricular rate 42 bpm
Atrial rate 84 bpm
Regular atrial and ventricular activity
2:1 AV block
PR - Normal (~200ms)
QRS - Prolonged (140ms)
Prominent T wave lead III in relation to QRS height
2:1 AV Block
What happened ?
The patient was admitted under the cardiology team and telemetry revealed intermittent variable AV block (2nd and 3rd degree) and he underwent an uneventful dual chamber PPM insertion. References / Further Reading