Cardiology Case Report: Chest Pain and Dizziness


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!


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.


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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