循环杂志《Circulation》刊登的心电图挑战ECG

ECG Challenge: July 22, 2014

Print ISSN: 0009-7322. Online ISSN: 1524-4539

Copyright © 2014 American Heart Association, Inc. All rights reserved.is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231Circulation doi: 10.1161/CIRCULATIONAHA.114.0118582014;130:347Circulation.

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ECG Challenge: July 22, 2014

A 64-year-old woman with a history of hypertension for which she is taking metoprolol, diltia-

zem, and hydrochlorthiazide presents to her primary care physician with complaints of fatigue that

have been present for 2 to 3 days. Her blood pressure is normal, but her pulse rate is noted to be

slow. An ECG is obtained.What is the diagnosis?

Correspondence to Philip J. Podrid, MD, West Roxbury V A Hospital, Section of Cardiology, 1400 VFW Parkway, West Roxbury, MA 02132. E-mail ppodrid@ (Circulation . 2014;130:347.)

© 2014 American Heart Association, Inc.

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DOI: 10.1161/CIRCULATIONAHA.114.011858

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