This strip was obtained from a woman who presented to her doctor’s office with hypertension. While there is some artifact in the baseline, it is possible to determine the presence of P waves, thanks in part to having two leads to assess. We have provided an unmarked version of the strip for you to use, and also a marked version for the sake of this discussion.
Thank you to Alikuni Kllany from Toronto for donating these ECGs. They are from a 59-year-old man who has a history of hypertension and depression. Last year, he was on atenolol when he experienced a brief syncopal episode and bradycardia. He was taken off atenolol and started on amlodipine 5 mg. He also takes ramipril 10 mg, atorvastatin 40 mg, and tamsulosin .4 mg. He continues to have bradycardia and dizziness.
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