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Challenges in Clinical Electrocardiography
July 8, 2013

Dual Ventricular Rhythm

Author Affiliations
  • 1Division of Cardiology, University of Miami Miller School of Medicine, Miami, Florida
  • 2Department of Internal Medicine, University of Miami Miller School of Medicine, Miami
  • 3Department of Internal Medicine, Staten Island University Hospital, Staten Island, New York
JAMA Intern Med. 2013;173(13):1246-1248. doi:10.1001/jamainternmed.2013.7043a

A 74-year-old man with a history of heart transplant presented with altered mental status. On admission, his blood pressure was 96/63 mm Hg and his heart rate was 72/min. On examination, he was in no immediate distress and had clear lung fields. There were no gallops on examination, and he had no focal neurological deficits. A median sternotomy scar and a left upper chest medical device were noted. The patient was unable to provide any history. His relatives confirmed prior heart transplant.

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