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Case presented by Jonathan Giordano, DO

A 64-year-old female presents in the urgent care complaining of dyspnea for the past 3 days. After asking a few questions, you learn the woman has a history of chronic obstructive pulmonary disease (COPD).

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

Multifocal atrial tachycardia (MAT)
Figure 1: Initial ECG
64-Year-Old With Dyspnea and History of COPD