The patient is a 42-year-old man with a sensation he describes as his heart “flipping” intermittently for the last 3 days. He denies chest pain, shortness of breath, diaphoresis, or dizziness.
Upon exam, you find:
General: Alert and oriented X 3, sitting comfortably in a chair
Cardiovascular: RRR without murmur, rub, or gallop
Abdomen: Soft and NT
View the ECG taken and consider what the diagnosis and next steps would be. Resolution of the case is described on the next page.