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Download the article PDF: Clinical Image Challenges May 2026
An 84-year-old woman presents to urgent care with palpitations that have lasted for several hours. The patient is afebrile, slightly tachypneic on exam, with a blood pressure of 148/97 mm Hg. 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.

Case presented by Benjamin Cooper, MD, McGovern Medical School, The University of Texas Health Science Center at Houston, Department of Emergency Medicine.
84-Year-Old With Palpitations
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