Occasional Lightheadedness and Concerning ECG

2 weeks ago 7

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A 75-year-old woman presents to her primary care provider with a history of episodic lightheadedness. She has never experienced syncope. Her only history is hypertension for which she takes a beta-blocker and hydrochlorothiazide. A 12-lead ECG is obtained (ECG A) and this prompts an admission to the hospital. Beta-blocker therapy is discontinued.

Figure 1. ECG A. Courtesy of Philip J. Podrid, MD.

Authors and Disclosures

Author

Philip J. Podrid, MD

Professor of Medicine, Boston University School of Medicine; Lecturer in Medicine, Harvard Medical School; Staff Cardiologist, Boston Medical Center, Boston, Massachusetts

Disclosure: Philip J. Podrid, MD, has disclosed no relevant financial relationships.

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