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


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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