Cases in Electrocardigraphy
A 30-year-old man presented to the ED with dyspnea, beginning somewhat suddenly, accompanied by subjective fevers, nonproductive cough, and pleuritic chest pain. Past medical history was significant for spina bifida, which left him bedridden.
He denied a history of cardiac disease, pneumonia, pulmonary embolism, or pneumothorax. Physical examination revealed an obese male, with mild diaphoresis and increased work of breathing. Vital signs were temperature, 99.8°F; heart rate, 115 beats per minute; respiratory rate, 26 breaths per minute, and blood pressure, 142/92 mmHg.
Lungs were clear bilaterally. The remainder of the examination was unremarkable. Below is the initial 12-lead ECG. What diagnosis do you suspect? See p. 12.