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A 27-year-old female with history of asthma presents to urgent care on a Friday morning with dyspnea for 1 day. She denies palpitations, syncope, or chest pain. 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.

PJTWP ECG
Figure 1. Initial ECG
Case presented by Catherine Reynolds, MD, McGovern Medical School at UTHealth Houston.
27-Year-Old with History of Asthma