The patients is an 88-year-old woman with 3 weeks of dizziness but no complaints of chest pain/discomfort, shortness of breath, focal neurological signs, or diaphoresis. An ECG is performed by staff prior to clinician evaluation.
Upon exam, you find:
- General: Alert and oriented X 3, ambulatory
- Lungs: Clear to auscultation
- Cardiovascular: RRR without m/r/g
- Abdomen: Soft and NT without r/r/g
- Extremities: Normal
Review the ECG and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.