A 53-year-old man with no known medical history presents to the emergency department with three days of progressive shortness of breath and leg swelling. His dyspnea is worse with exertion. He denies chest pain, nausea, vomiting, or diaphoresis. Initial vitals notable for BP 190/95, HR 84, RR 24 and 86% on room air. The patient’s initial EKG (Figure 1) is shown.
Abish Kharel MD and Ari Edelheit MD
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