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A 15-year-old male with no significant past medical history presents after he was noted to be gasping for air and difficult to arouse after taking a nap. At the urgent care, an ECG is obtained.

View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

Figure 1. Initial EKG
Case presented by Erik Alvarado, MD, McGovern Medical School at the University of Texas Health Science Center at Houston
15-Year-Old Gasping for Air
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