Cardiology Case Report: Preoperative ECG

News
Article

This case report from Brady Pregerson, MD,

Case History:

A patient in their mid-50’s is sent to the hospital ER for an abnormal pre-op ECG. He denies any symptoms other than right elbow pain for which he was supposed to have surgery at an outpatient surgery center. The surgery was cancelled because the pre-op ECG was abnormal showing a heart rate in the low 40’s. The patient does not know what his baseline heart rate is and he has not been in your ER before so you are unable to look it up.

Exam:

Vital signs are normal except for a pulse of 42. The physical exam is otherwise normal.

An ECG is done:

Printout of an ECG from a patient presenting to the emergency department. | Credit: Brady Pregerson, MD

Computer Read: Sinus brady with frequent PAC’s in a bigeminal pattern, RVH, NSST, and TWA.

What is the most likely rhythm in this patient?


Related Videos
Video 10 - "Future Treatment Landscape for COPD"
Video 9 - "Emerging Treatment Approaches in COPD"
A panel of 5 cardiovascular experts
Ghada Bourjeily, MD: Research Gaps on Sleep Issues During Pregnancy
John Winkelman, MD, PhD: When to Use Low-Dose Opioids for Restless Legs Syndrome
Bhanu Prakash Kolla, MBBS, MD: Treating Sleep with Psychiatric Illness
Jennifer Martin, PhD: Boosting CPAP Adherence in Women with Sleep Apnea
Video 2 -  4 KOLs are featured in, "Educating Primary Care Clinicians on Outpatient HE Management and Ammonia Testing"
© 2024 MJH Life Sciences

All rights reserved.