ECG Challenge: Tired and Out of Control

Philip J. Podrid, MD

Disclosures

December 06, 2018

A 70-year-old woman with a history of hypertension, which is being treated with a beta-blocker and an angiotensin-converting enzyme inhibitor, presents to her primary care provider with complaints of increasing fatigue and lightheadedness. Her blood pressure, previously well controlled, is noted to be 180/100 mmHg with an irregular pulse. A 12-lead ECG is obtained.

Figure 1. Courtesy of Dr Podrid.

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