A 56-year-old woman who underwent a recent aortic valve replacement for a stenotic bicuspid valve presents for routine post-operation follow-up with complaints of fatigue, chest discomfort unrelated to the sternal incision, shortness of breath, and peripheral edema. A 12-lead ECG is obtained, and the findings are in keeping with the physical examination and echocardiogram.

Figure 1. Courtesy of Dr Podrid.
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Cite this: ECG Challenge: Cardiac Abnormalities After Aortic Valve Replacement - Medscape - Jan 21, 2020.
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