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Course: Unusual Electrocardiographic Findings in an Elderly Patient With Syncope

CME Credits: 1.00

Released: 2022-02-21

A patient in their 80s with a history of hypertension controlled with Dyazide presented to the emergency department with 1 episode of syncope. The patient reported a weird sensation of feeling hot and light-headed and felt they should lie down but suddenly awoke on the floor with considerable head and left shoulder pain. The patient also had a few near-fainting spells in the week prior to this index syncopal event. In the emergency department, the patient’s vital signs were stable without considerable orthostatic changes in blood pressure and heart rate. Results of laboratory tests, including serum electrolyte levels and cardiac enzymes, were normal. Cranial computed tomographic findings revealed no acute pathologic changes, and echocardiogram findings showed mild concentric left ventricular hypertrophy with preserved left ventricular systolic function. Two 12-lead electrocardiograms (ECGs) obtained on arrival to the emergency department and the day following admission are shown in the .


Educational Objective
To identify the key insights or developments described in this article


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