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A 52-year-old male presents to urgent care complaining of palpitations. 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 ECG
Case presented by Benjamin Cooper, MD, McGovern Medical School, The University of Texas Health Science Center at Houston, Department of Emergency Medicine.
52-Year-Old With Palpitations