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- cardiac care, arrythmia
- cardiac care, diagnosis
- cardiac care, treatment
- emergency department
- ECG, interpretation
An 81-year-old woman was admitted to the emergency department for collapse. She has no known medical history.
The clinical examination shows a heart rate oscillating between 160 and 180, a BP at 78/55 mm Hg, a GCS at 14 (E : 4, V : 4, M : 6), an oxygen saturation at 89%. She has cyanosis going from the feet to the knees.
An ECG was done (see figure 1).
What is your diagnosis ?
Contributors OT and RK wrote the article. KB gave advices about the interpretation of the ECG.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; internally peer reviewed.