Country cardiograms case 5
Jim Thompson, MD, CCFP(EM), FCFP
Sundre, Alta.
Clinical Associate Professor, Department of Family Medicine, University of Calgary, Calgary, Alta.
Can J Rural Med vol 3 (3):135
"Country cardiograms" is a regular feature of the Canadian Journal of Rural Medicine. In each issue we will present an electrocardiogram and discuss the case in a rural contxSubmit cases to Dr. Jim Thompson, Canadian Journal of Rural Medicine, Bag 5, Sundre AB T0M 1X0; jthompso@telusplanet.net
© 1997 Society of Rural Physicians of Canada
Case presentation
A 75-year-old woman with a history of breast cancer presented to a rural emergency department with a 1-week history of progressive dry cough, dyspnea, weakness and nausea. She was found to have tachycardia and hypoxemia. An electrocardiogram (ECG) obtained at the time of presentation is shown below. An ECG obtained 4 months earlier had shown only left anterior fascicular block Fig. 1.
How would you manage this case in your rural setting? See answer and discussion on page 147.
