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Download the article PDF: Clinical Image Challenges September 2026

An 83-year-old female with a past medical history of hypertension, diabetes mellitus, and hyperlipidemia presents to urgent care with palpitations and dizziness for the past 2 weeks. She does not have any family members present. An ECG is obtained.

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

Figure 1: Initial ECG
Case presented by Aqeeb Ali, DO, PGY2 at UTHealth Houston.
83-Year-Old Female With Palpitations
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