Abstract
A 55-year-old woman presented with shortness of breath of sudden onset. The patient had severe hypoxemia (partial pressure of O2 65 mmHg by 100% non-rebreather mask) and was intubated for ventilatory support. A chest x-ray revealed hyperinflated lungs, and an electrocardiogram (Figure 1) revealed Himalayan P waves with a rightward axis shift in leads II, III and aVF.
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