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ECG Abnormalities_Part 19

Wednesday, April 27, 2011

 You are the house officer on call for the telemetry floor and a nurse calls you with an abnormal rhythm seen on telemetry. The patient was admitted 2 days previously for a congestive heart failure exacerbation. He denies any symptoms including chest pain, palpitations, lightheadedness, or shortness of breath. Vital signs are normal. You ask for a 12-lead ECG which is below:


You go back to sleep and are soon called again for another abnormal rhythm seen on the same patient which is intermittently occurring. The patient is still asymptomatic and vital signs are still normal. Another 12-lead ECG is obtained which is below:


What are the ECG abnormalities?

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