Emergency Medicine News

Skip Navigation LinksHome > January 2007 - Volume 29 - Issue 1 > Symptoms: 86‐Year‐Old Woman Not Feeling Well
Emergency Medicine News:
doi: 10.1097/01.EEM.0000264632.31144.84
Cases in Electrocardiography

Symptoms: 86‐Year‐Old Woman Not Feeling Well

Chan, Theodore MD; Brady, William MD; Harrigan, Richard MD

Free Access

An 86-year-old woman with a history of hypertension, atrial fibrillation, and sick sinus syndrome with a pacemaker is brought to the ED complaining of not feeling well for one day. Her symptoms include diffuse generalized weakness and nausea. She denies chest pain, shortness of breath, abdominal pain, palpitations, or lightheadedness.

Figure. No caption a...
Image Tools

The patient's medications include digoxin, metoprolol, warfarin, and thyroid replacement. Her vital signs are pulse, 58 beats/minute; blood pressure, 98/41 mmHg; respiratory rate, 16 breaths/minute; and temperature, 98.6°F.

On examination, the patient is in minimal distress with a cardiac exam notable for an occasionally irregular bradycardia without murmurs. The remainder of her examination is unremarkable.

A 12-lead ECG (Fig. 1) is obtained. What is your diagnosis? See p. 11.

Figure 1
Figure 1
Image Tools

© 2007 Lippincott Williams & Wilkins, Inc.




Enews Archive

Enews Sign-up

      EMN Archive


      Search EMN

      Email us


Article Tools



Article Level Metrics