Author: Waleed Tamar, Onyinyechukwu Okoye / Editor: Steve Corry-Bass / Codes: CC10, CC12, CC3, SLO1, SLO3, SLO9 / Published: 25/11/2024
A 74-year-old female with a known history of left bundle branch block (LBBB) presents to the Emergency Department (ED) with complaints of general malaise, nausea, vomiting, and weakness. Her past medical history includes hypertension and diabetes mellitus.
On examination, she appears pale and lethargic, with mild dehydration. An ECG is performed and is attached for review.

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Question 1 of 3
1. Question
Based on the above ECG, what findings can you identify, and how do they correlate with her symptoms and known medical history?
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Question 2 of 3
2. Question
How can you reach a conclusion of complete heart block (CHB) and trifascicular block on an ECG? (Select all that apply)
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3. Question
Based on this patient's symptoms, history and ECG what would be the best management plan?
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