ECG Challenge: While He Was Sleeping…

Philip J. Podrid, MD


May 17, 2017

A 52-year-old man is admitted to the hospital with complaints of increasing episodes of substernal chest discomfort. He is placed on telemetry. His dose of beta-blocker is increased and long-acting nitrates are begun. While sleeping, he is noted to have a slow heart rate and evidence of heart block. A 12-lead ECG is obtained.

Figure 1. Courtesy of Dr Podrid.


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