Sunday, July 9, 2017
New Onset of Chest Pain and Dyspnea
A 56 year old with a history of a LBBB block. The patient had shortness of breath and "fluttering" in the chest for two days. The patient experienced chest pain with exertion and came to the ER for evaluation. BP stable. Labs: K 3.0, Mg 13. TNI .21, TSH WNL. The 12 lead showed a wide complex tachycardia. The patient was treated with adenosine 6 mg then 12 mg. The patient was then treated with IV Diltiazem 25mg x 2 before obtaining rate control. The rate was maintained with Diltiazem 5 mg/hr.
The follow up EKG