ECG Challenge: November 3, 2015

Abstract

HomeCirculationVol. 132, No. 18ECG Challenge: November 3, 2015 Free AccessResearch ArticlePDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessResearch ArticlePDF/EPUBECG Challenge: November 3, 2015 Originally published3 Nov 2015https://doi.org/10.1161/CIRCULATIONAHA.115.019700Circulation. 2015;132:1743–1744A 67-year-old man with prostate cancer currently being treated with radiation therapy presents to the hospital with concerns about the inability to urinate for the past 2 days. It is noted that his urinary tract is obstructed and a Foley catheter is inserted with difficulty. Several hours later the patient develops shaking chills and diaphoresis and has a blood pressure of 89/60 mm Hg. It is believed that he has urosepsis, and he is started on antibiotics and pressors for early septic shock. As a result, he develops a tachycardia and an ECG (ECG A) is obtained.Download figureDownload PowerPointHis temperature decreases and his blood pressure increases to 120/80 mm Hg at which time the pressors are discontinued. His heart rate is slower and an ECG is repeated (ECG B).Download figureDownload PowerPointWhat is the diagnosis?To submit your diagnosis, go to http://circ.ahajournals.org/letters/submit/circulationaha;132/18/1743. The diagnosis will follow in next week’s issue (November 10).Please go to the journal’s Facebook page for more ECG Challenges: http://goo.gl/cm4K7. Challenges are posted on Tuesdays and Responses on Wednesdays.FootnotesCorrespondence to Philip J. Podrid, MD, West Roxbury VA Hospital, Section of Cardiology, 1400 VFW Pkwy, West Roxbury, MA 02132. E-mail [email protected] Previous Back to top Next FiguresReferencesRelatedDetails November 3, 2015Vol 132, Issue 18 Advertisement Article InformationMetrics © 2015 American Heart Association, Inc.https://doi.org/10.1161/CIRCULATIONAHA.115.019700 Originally publishedNovember 3, 2015 PDF download Advertisement