Abstract

ECG Challenge: A 69-year-old man with a known history of coronary artery disease and a previous myocardial infarction is seen for a routine physical examination. He denies all symptoms. His examination is unremarkable, but an irregular pulse is felt with episodes of pauses noted. The rhythm is irregular but there is a pattern, as all the short RR intervals are the same (┌┐) and the long RR intervals (↔) are the same. Therefore, the rhythm …

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