History of Present Illness:
A woman in her late 50’s with COPD and HTN presents with 6 hours of right-sided pleuritic chest pain, SOB and palpitations.
Vital Signs & Physical Exam:
Vital signs are normal except for HR 160. Physical exam is also normal
An ECG is done
Computer Read: Atrial flutter with RVR, ST elevation, consider inferior injury
What is the most likely cause of the ECG findings in this patient?
- A) Anxiety/Panic
- B) Blood clot (PE)
- C) Cardiac: ACS
- D) Drug toxicity
- E) None of the above
SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT
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ECG ANALYSIS, QUIZ ANSWER, CASE OUTCOME/PEARLS & 1-MINUTE CONSULT:
My ECG interpretation (by Dr. D. Brady Pregerson of ERpocketbooks.com):
QUIZ ANSWER: What is the most likely cause of the ECG findings in this patient?
1-Minute Consult on this topic: Click HERE and scroll to proper page
Case Outcome: Troponin-i was normal. K was 3.4, CBC nl, CT chest no PE. Mg =