ECG Challenge: A Counterclockwise Rotation*
A 76-year-old woman is admitted to the hospital because of abdominal discomfort, nausea, vomiting, and abdominal distention. She is diagnosed with a small-bowel obstruction.
She stated that she had undergone a cholecystectomy several years ago, but has never had any other medical problems or other surgeries. After admission, a 12-lead ECG is obtained (Image attached).
What does her ECG show?
A. Normal sinus rhythm (NSR) with premature atrial complexes (PACs)
B. NSR with junctional escape complexes
C. NSR, Mobitz I and blocked PACs
D. NSR with sinus pauses
E. Atrial tachycardia with variable block
Answer to be disclosed shortly!!
*The present case has been reported in Medscape