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A 55-year-old male with a history of heart failure presents to the urgent care with dyspnea. An ECG is obtained.

View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

Junctional Escape Rhythm
Figure 1: Initial ECG
Case presented by Benjamin Cooper, MD, McGovern Medical School, The University of Texas Health Science Center at Houston, Department of Emergency Medicine
55-Year-Old Male With Dyspnea
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