ECG Challenge: High Blood Pressure and Asymptomatic

Philip J. Podrid, MD


September 22, 2022

A 74-year-old man with a history of hypertension and hypertensive heart disease, taking lisinopril, hydrochlorothiazide, and a beta-blocker, presents to his primary care physician for a routine physical examination. He has no symptoms. His blood pressure is 190/100 mm Hg, and the rest of the exam is unremarkable. An ECG is obtained. The patient is sent to the emergency department, where his blood pressure is still elevated.

Figure 1. Courtesy of Philip J. Podrid, MD.


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