Our latest case report from Brady Pregerson, MD, features a man in his early 60s presenting with months of gradually worsening dyspnea on exertion that has been worse for several days. Check out the EKG and determine the correct diagnosis!
A patient in their early-60’s with no PMH presents to the hospital with 2 months of gradually worsening dyspnea on exertion that has been worse for the past few days. He thinks the trouble breathing may be an allergic reaction to a new skin cream he is using because the timing seems to fit. He denies syncope, palpitations, chest pain, leg swelling, or other complaints.
Vital signs are as follows: Temp 98.8, BP 115/73, HR 112, RR 21, Sat 92%. Exam is otherwise normal with no rash, leg swelling, stridor, or wheezing/rales.
CXR: clear with normal heart/mediastinum
An EKG is performed:
What is the most likely diagnosis?