Cardiology Case Report: Palpitations at Golf

History:

A patient in their early 70s presents to the hospital with palpitations for the past 2 hours that started while playing a round of golf. He feels dizzy, but denies vertigo, syncope, chest discomfort, leg swelling, fever, cough, or other complaints. He has no known medical history but does smoke tobacco.

Exam:

Vital signs are normal except for tachycardia. The physical exam is otherwise normal with clear lungs, no leg edema, and no nystagmus.

Computer Read: Sinus tach at 132, Non-specific intraventricular conduction delay.

Credit: Brady Pregerson, MD