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Download the article PDF: Clinical Image Challenges March 2026

A 75-year-old female with a history of hypertension and diabetes presents with 1 day of dizziness and nausea. She is markedly bradycardic with a heart rate of 32 beats per minute and blood pressure of 88/52 on arrival. She was awake, alert, and oriented.

Figure 1. Initial ECG.
Case presented by Sagar Patel, DO (PGY2); Akshay Elagandhala, MD, Assistant Professor of Emergency Medicine, McGovern Medical School at UTHealth Houston
75-Year-Old With History Of Hypertension And Diabetes
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