A 77-year-old male patient with a history of ischemic cardiomyopathy with moderate systolic dysfunction (LVEF of 40%), remote anterior myocardial infarction at the age of 70, severe aortic stenosis treated with a TAVI procedure at the age of 76, and paroxysmal atrial fibrillation presents to the Emergency Department for signs and symptoms of congestive heart failure (dyspnea on exertion during a mild physical effort). His ECG at admittance is presented in Fig. 1.

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ECG 18

  • Serban Schiau

摘要

A 77-year-old male patient with a history of ischemic cardiomyopathy with moderate systolic dysfunction (LVEF of 40%), remote anterior myocardial infarction at the age of 70, severe aortic stenosis treated with a TAVI procedure at the age of 76, and paroxysmal atrial fibrillation presents to the Emergency Department for signs and symptoms of congestive heart failure (dyspnea on exertion during a mild physical effort). His ECG at admittance is presented in Fig. 1.