ECG 7
摘要
A 58-year-old male patient with a history of ischemic cardiomyopathy with severe LV systolic dysfunction (LVEF of 21%), remote anterior myocardial infarction (2007), implanted with a CRT-D device for the primary prevention of sudden cardiac death, paroxysmal atrial fibrillation, and type 2 diabetes mellitus, presents to the Emergency Department for dyspnea on exertion, bilateral peripheral edema suggesting an episode of decompensated heart failure. His ECG at admittance is presented in Fig. 1.