Friday, 7 August 2015

ECG of the Week - 10th August 2015

This ECG is from a 70 year old male who presented to the Emergency Department complaining of feeling light-headed and dizzy. Past medical history or hypertension, diabetes, chronic atrial fibrillation and chronic renal failure on dialysis. His medications included metoprolol but no digoxin. On arrival to the ED he was GCS 15 with a BP 135/78.

Click to enlarge

Things to think about

  • What are the key ECG features ?
  • What investigation would you request on this patient ?
  • How would you mange him ?

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