A first for me: a clinical quiz.
The patient has had seventy birthdays.
He presents with shortness of breath and constant chest pressure. These symptoms began abruptly 24 hours before presenting. He describes feeling “dreadful.”
Past history is remarkable for an implanted device 8 years ago.
A thorough physical exam is… you guessed it…normal.
Here is the ECG:
Do you know what the cause of this patient’s symptoms are?
Please feel free to post your answer in the ‘comments’ section. (If you do, it will be more fun.)
No tricks, and it is a real case.
I will post the answer in a day or so.