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clibb, I would agree that it looks like a first degree block, or possibly even a wenckebach(hard to tell without seeing a couple more seconds) after the patient converted.

Although I do agree with Tom that monitoring and transport would be the idea treatment, that wasn't what was done. The patient was given 6 mg of Adenosine and converted into a NSR. As far as the diagnoses, I'm not 100% sure. I'm guessing a WPW, LGL, or some other aberrancy pathway. I'll try...

The patient states that she has had these episodes for the last couple years, but her symptoms usually dissipate before she gets to an ER. Therefore, she doesn't have any diagnosed condition. Usually the onset starts with exercise, however, today it was while cleaning her house. The patient...

This patient is a 36YO female who present at a rural clinic complaining of palpitations and dizziness.