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A 75 year old woman is seen in the emergency room because of progressive dyspnea over a period of three days. Her examination confirms the presence of congestive heart failure with bilateral crackles, elevated jugular venous pressure and bilateral 1+ edema.


Vent. rate 70 bpm
PR interval * ms
QRS duration 170 ms
QT/QTc 476/514 ms
P-R-T axes 116 -72 104

Questions For Thought


1. What is the basic rhythm in this patient?
2. Is there evidence of anterior myocardial infarction?

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