Patient With Syncope
A 20-ycar-old patient was admitted with a head laceration after an episode of syncope with seizure. He had one previous episode of "fainting• about a month ago but did not seek medical care. His BP is 126/72 mm Hg, heart rate 50 bcats/min, and complains of pain at the laceration site but is awake, oriented, and cooperative. This is the 12-lead ECG obtained as part of his workup for syncope:
What is your interpretation of this ECG, rhythm, Q..RS uis, and bundle branch block?
Is there anything on the ECG that might indicate a cause ofhi1 "1ebure?"
You put him on the bedside monitor and set the alarms. He remains stable for the next few hours, then you hear his monitor alarm. When you enter the room, he is complaining of extreme dizziness and says he feds like he might pass out. This is his rhythm on the monitor:
What is thi1 rhythm?
What treatment is indicated for thia rhythm acutely and long term?
In the next minute, the following rhythm appears:
What is the matment now?