Approach to tachycardia Quiz: Ace Your Exams
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A 59-year-old woman presents to the emergency department after experiencing a syncopal episode. The patient has had several similar episodes in the last two weeks and has also been more lightheaded and fatigued than usual. The syncopal events are abrupt and are not preceded by symptoms. Past medical history is significant for ischemic cardiomyopathy with an ejection fraction of 15%, major depressive disorder, opioid use disorder, and fibromyalgia. Current medications include carvedilol, lisinopril, methadone, ondansetron, quetiapine, and sertraline. Vital signs are obtained by the nursing staff while you examine the patient. The patient appears uncomfortable. There are no cardiac murmurs on auscultation. The patient’s radial pulse is irregular and rapid. An electrocardiogram is ordered. Which of the following arrhythmias is most likely to be seen on ECG?
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