[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.163.94.5. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Views 1,673
Citations 0
Challenges in Clinical Electrocardiography
Nov 26, 2012

Infecting the Electrocardiogram—Discussion

Author Affiliations
 

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

Arch Intern Med. 2012;172(21):1623-1625. doi:10.1001/archinte.172.21.1623

Figure 1 demonstrates what appears to be sinus tachycardia with left bundle-branch block. Closer evaluation of the rhythm strip reveals a P wave that is partially obscured by the T wave consistent with 2:1 atrioventricular (AV) conduction suggestive of infranodal disease (red arrows in Figure 2).

On further questioning, the patient reported owning a farm in southern Minnesota. He reported noting occasional ticks on his body but no known tick bites. Two weeks prior to his presentation he had a self-limited 4-day febrile illness with rigors.

First Page Preview View Large
First page PDF preview
First page PDF preview
×