ECG Quiz no. 21

A. Okreglicki


A 47 year-old man with a past medical history of diabetes mellitus and hypertension only, presented with an illness for one week with general body aches, rigors, decreased effort-tolerance, dyspnoea, and no syncope or palpitations. On examination he was ill: febrile, pulse rate 60, BP 100/40, JVP
elevated with cannon waves, 2/6 ejection systolic murmur and 2/4 early diastolic murmur along the left sternal margin. The ECG was done on arrival.

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