Abstract
ECG Challenge: A 67-year-old man with a history of chronic obstructive pulmonary disease and hypertension, presented to his physician 2 months ago with complaints of palpitations. He was noted to be in atrial fibrillation. He was begun on anticoagulation. After 1 month of anticoagulation his physician began therapy with sotalol as therapy of the arrhythmia. He returned for a follow-up visit 1 week later. The initial portion of the ECG shows a rhythm that is irregularly irregular without any evidence for organized atrial activity. The average rate is about 160 bpm. Hence the rhythm is atrial fibrillation. The QRS complexes have a normal …
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