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A 70-year-old male with a history of atrial fibrillation presents to urgent care for 1 week of fatigue and edema of the lower extremities and face. 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.

Case presented by Joe Stockhausen, MD

Figure 1: Initial ECG
70-Year-Old With Fatigue and Edema
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