Cardiology Case Report: Near Syncope
This cardiology case report from Brady Pregerson, MD, features man in his late-60s presenting to urgent care with 3 days of upper respiratory infection symptoms and one episode of near syncope. Check out the ECG and see if you can determine the correct diagnosis!
History:
A patient in their late-60s with no cardiac history presents to the urgent care with 3 days of upper respiratory infection symptoms and one episode of near syncope today. He denies palpitations, chest pain, SOB, leg swelling, fever or other complaints.
Exam:
Vital signs are normal. The physical exam is normal except for a regularly-irregular rhythm
An ECG is performed:
Computer Read: Atrial flutter with variable AV block and RVR at a rate of 145, NSST abnormality.
Other Info: Heart Rate: 148 on the cardiac monitor
Credit: Brady Pregerson, MD
What is the most likely rhythm in this patient?
