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Challenges in Clinical Electrocardiography
September 7, 2021

Syncope in a Middle-aged Man: A Revealing Electrocardiogram

Author Affiliations
  • 1Department of Medicine, The University of Texas Southwestern Medical Center, Parkland Health and Hospital System, Dallas
JAMA Intern Med. 2021;181(11):1505-1506. doi:10.1001/jamainternmed.2021.4027

A man in his 40s with hypertension was brought to the emergency department after becoming unresponsive during descent on a commercial flight. He was alert and oriented with normal heart rate and blood pressure by emergency medical services evaluation and in the emergency department. He had no recollection of the event, with history notable only for more than usual alcohol use the 2 days prior, including drinking just prior to boarding the plane. A 12-lead electrocardiogram (ECG) was obtained (Figure).

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