ECG image of the month| Volume 118, ISSUE 5, P480-481, May 2005

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Moving to a slow beat

      A 70-year-old woman with a history of recurrent atrial fibrillation and pulmonary hypertension became increasingly fatigued over the course of several days. Treatment with amiodarone was discontinued about 3 weeks earlier when her atrial fibrillation was deemed to be chronic. Her pulse was in the 30s, prompting an immediate ECG.
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