Case Studies

Arrhythmia Grand Rounds, June 2015, Volume 1, Issue 2: 72-75
DOI: 10.12945/j.agr.2015.003-15

What Is the Rhythm?

Paul A. Levine MD, FHRS, FACC, CCDS

Loma Linda University Medical Center and Olive View UCLA Medical Center, Sylmar, California, USA

Abstract

56 year old male with 3 pack-per-day smoking history presents to the hospital in acute respiratory failure with hypoxemia and hypercapnea.   He is intubated and admitted to the ICU.  Within hours he goes through a variety of progressively more severe tachyarrhythmias. While he denies a history consistent with ischemic heart disease, his primary care physician told him that his ECG had revealed evidence of a prior myocardial infarction.

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