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April EKG 2006 Answer Key

This is a 56 year old male who presents with left sided pressure like, nonradiating chest pain.  What does the EKG show?

Rate:    variable 50-80 

Rhythm:  sinus, irregular

Axis:    normal

PR:    progressive prolongation with associated dropped QRS

QRS:   narrow complex

ST:    normal

EKG diagnosis: sinus rhythm with Mobitz type 1 AV block

Clinical diagnosis: (Name 4 possible etiologies of this EKG)

   -chest pain r/o MI (most commonly inferior)

   -normal

   -athletes

   -drugs (digitalis, beta blockers, calcium channel blockers, clonidine, a-methyldopa, sotalol, amiodarone, propafenone, lithium)

   -acute rheumatic fever

   -myocarditis

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