#DiagnosticDilemma: What is your take on this case??
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
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S●●●●●a K●●●●a
S●●●●●a K●●●●a General Medicine
Jan 24, 2019Like
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Dr. P●●●●k V●●a Internal Medicine
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P●●●●d U●●●e
P●●●●d U●●●e General Medicine
Feb 1, 2019Like