Cardiology Case Report: Chest Pain and Dizziness

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This case report from Brady Pregerson, MD, features a man in his early-30s with chest pain, dizziness, and shortness of breath. Check out the ECG and determine the correct diagnosis!

History:

A patient in their early-30’s presents to the hospital with chest pain, dizziness and SOB for 2 hours. The dizziness is described as feeling light-headed. He denies vertigo, syncope, leg swelling, fever, cough or other complaints. He has no known medical history but does smoke tobacco.

Exam:

Vital signs are normal. The physical exam is normal with clear lungs, no peripheral edema, and no nystagmus or cerebellar signs.

An ECG is done:

ECG Printout from patient featured in case report. | Credit: Brady Pregerson, MD

Computer Read: Sinus rhythm. Possible RV conduction delay, voltage for LVH. | Credit: Brady Pregerson, MD

What is the most likely cause of the ECG findings in this patient?


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