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Challenges in Clinical Electrocardiography
Aug 13/27, 2012

Electrocardiographic Findings in a Young Man With Tachycardia and Hypotension

Author Affiliations
 

SECTION EDITORS: JEFFREY TABAS, MD; PAUL D. VAROSY, MD; GREGORY M. MARCUS, MD; NORA GOLDSCHLAGER, MD

Arch Intern Med. 2012;172(15):1125. doi:10.1001/archinternmed.2012.2727

A 25-year-old man presented to the emergency department complaining of shortness of breath, cough, and malaise, which had progressed over the preceding several weeks. He had a 7-year history of daily methamphetamine use. He had presented to the emergency department 3 times in the previous month complaining of similar symptoms and had been discharged with treatment for an upper respiratory infection; there was no evidence of hemodynamic instability. At this presentation, however, his blood pressure was 95/60 mm Hg, his heart rate was 114 beats/min, and his oxygen saturation was 98% on room air.

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