48-year-old man with continuous palpitations for the past 8 days. He felt
lightheaded initially, but currently denies this. He denies dyspnea at rest, but
is only able to do half of his usual amount of exertion. He has had palpitations
intermittently for 4 years, but they have always stopped within 12 hours.
Medical History: Crohn’s disease
(currently controlled)
Exam:
Vitals:
T afebrile
HR 140-160 BP
148/90 RR18
HEENT Uremarkable
Neck: Mild
symmetrical fullness. No JVD
Lungs: Clear
CV:
Variable intensity S1, Normal S2, no S3, no rub or murmur
Abd:
unremarkable
Ext:
No edema, pulses 2+
EKG:
See Figure #1
EKG: See Figure #1