2023-12-01 19:42:16
A 74-year-old woman
presented with severe
fatigue. The patient reported
being dizzy for the past day,
regardless of activity, and a
feeling of impending loss
of consciousness. She had
a history of hypertension
and diabetes mellitus. Her
ongoing medications were
Enalapril 5 mg per day;
Atenolol 25 mg per day; and
Metformin 750 mg per day.
On examination, she had
a heart rate of 24 beats per
minute, blood pressure of
90/40 mm Hg, respiratory
rate of 20 breaths per minute, and peripheral oxygen saturation of 96% on room air. Results of urgent blood testing showed a glucose
level of 242 mg per dL, potassium
level of 6.8 mEq per L and creatinine level of 3.2 mg per dL;
other values were nearly within the reference range. Twelve-lead electrocardiography was as shown in the picture below.
Based on the patient’s history and physical examination findings, which one of the following is the most likely diagnosis?
A. BRASH syndrome.
B. Long QT syndrome.
C. Myocardial infarction.
D. Sick sinus syndrome
(Question Courtesy: Prof R N Sharma, Kottayam)
12.7K viewsKishan Rao, 16:42
T
