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An 82-year-old man presents with complaints of palpitations. He denies chest pain, shortness of breath, dizziness, fever, vomiting, or confusion.

Upon exam, you find:

  • General: Alert and oriented
  • Lungs: CTAB
  • Cardiovascular: Regular and tachycardic without murmur, rub, or gallop
  • Abdomen: Soft and nontender without rigidity, rebound, or guarding

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

An 82-Year-Old Man with Palpitations