Article

Cardiology Case Report: Palpitations

Our latest case report from Brady Pregerson, MD, features a woman in her mid-40s presenting with palpitations the past 2 hours. Check out the EKG and determine the correct diagnosis!

History:

A patient in her mid-40’s presents to the hospital with palpitations for the past 2 hours. She feels light-headed but denies syncope, chest pain, SOB, fever, cough or other complaints.

Exam:

Vital signs are normal except for a pulse of 118. The physical exam is otherwise normal with clear lungs and no peripheral edema.

An EKG is performed:

EKG strip printout

Computer Read: AFib with RVR at 104

Other Info: Labs are normal except for a K of 3.3

What is the most likely rhythm?


Related Videos
Experts' Perspectives: Top Stories in Cardiology for 2024
Yehuda Handelsman, MD: Insulin Resistance in Cardiometabolic Disease and DCRM 2.0 | Image Credit: TMIOA
Nathan D. Wong, MD, PhD: Growing Role of Lp(a) in Cardiovascular Risk Assessment | Image Credit: UC Irvine
Laurence Sperling, MD: Expanding Cardiologists' Role in Obesity Management  | Image Credit: Emory University
Laurence Sperling, MD: Multidisciplinary Strategies to Combat Obesity Epidemic | Image Credit: Emory University
Matthew J. Budoff, MD: Examining the Interplay of Coronary Calcium and Osteoporosis | Image Credit: Lundquist Institute
Orly Vardeny, PharmD: Finerenone for Heart Failure with EF >40% in FINEARTS-HF | Image Credit: JACC Journals
Matthew J. Budoff, MD: Impact of Obesity on Cardiometabolic Health in T1D | Image Credit: The Lundquist Institute
Matthew Weir, MD: Prioritizing Cardiovascular Risk in Chronic Kidney Disease | Image Credit: University of Maryland
© 2025 MJH Life Sciences

All rights reserved.