A 96-Year-Old Male with Palpitations and a History of CAD

The patient is a 96-year-old man who is brought to your urgent care center by his daughter, with whom he lives. She reports that he has been feeling light-headed for “a few days.” The patient confirms this, adding that he has felt his heart “fluttering,” as well. He denies chest pain and shortness of breath, but acknowledges a history of coronary artery disease.

View the ECG and consider what your diagnosis and next steps would be.

(Case presented by Benjamin Cooper, MD, FACEP, McGovern Medical School Department of Emergency Medicine. Dr. Cooper is also lead author of ECG Stampede: A Case-Based Curriculum in Electrocardiography Triage, available on Amazon.)