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Cardiology Case Report: Bedsores and Palpitations

Our latest cardiology case report features a woman in her mid-70s with a history of hypertension presenting to the hospital with intermittent palpitations as well as worsening bedsores. Check out the EKG and determine the correct diagnosis!

History:

A patient in her mid-70’s with a history of hypertension presents to the hospital with intermittent palpitations as well as worsening bedsores. She saw her doctor and had an abnormal EKG, which triggered a referral to an electrophysiologist but had palpitations again today lasting about 20 minute so came to the ER. She did not check her heart rate during the episode and denies syncope, chest pain, SOB, fever, cough, or other complaints.

Exam:

Vital signs are normal. The physical exam is also normal.

An EKG is performed:

What is the most likely cause of the EKG findings in this patient?