A 39-year-old man presented to the emergency department with a short (few days) history of subjective fever, lethargy, cough, nausea, and vomiting. He had no other medical history, and he denied chest pain or palpitations but complained of generalized weakness. His vital signs on arrival were (1) heart rate, 91 beats per minute (bpm); (2) temperature, 99.6 °F; and (3) blood pressure, 113/73 mm Hg. Based on initial electrocardiogram (ECG) results (Figure, A), an urgent cardiology consultation was requested for atrial flutter.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Naz A, Khan SA, Shah R. A Man With a Sixth Wave in Electrocardiogram Results. JAMA Intern Med. 2020;180(12):1685–1686. doi:10.1001/jamainternmed.2020.4783
Monkeypox Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.