The patient is a 62-year-old woman who presents to your urgent care center with a feeling of palpitations, which began the previous evening. She has no chest pain or shortness of breath, but does feel “clammy.” She takes no medications. Her history includes MI and CABG 5 years ago. Upon exam, you find:
General: Alert and oriented X 3, skin color good but clammy
Cardiovascular: Tachycardic and regular without murmur, rub, or gallop
Abdomen: Soft and NT, no pulsatile mass
Ext: No peripheral edema, pulses are 2+ and equal in all extremities
View the ECG taken and consider what the diagnosis and next steps would be. Resolution of the case is described on the next page.