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A 29 year old female is at the train station and passes out. She has no past medical history and takes no medications or illicit drugs. She has no chest pain, vomiting or diarrhea and is fully alert in the ED. What does the EKG show and what is the diagnosis?
Rate: 90
Rhythm: sinus
Axis: normal
PR: 0.10-0.12
ST: T flat III, AVF, V3, V4, V6
QRS: delta wave V3, V4, V5, V6
EKG Diagnosis: short PR with delta wave suggests Wolff-Parkinson-White (WPW)
Clinical Diagnosis: syncope due to WPW syndrome
Name at least 4 things to look for on an EKG in a syncope patient?
- bradycardia
- heart block
- WPW
- Prolonged QT syndrome
- Brugada syndrome
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