ECG image of the month| Volume 120, ISSUE 5, P417-419, May 2007

Wrap Beats

      An ECG hinted at an event that had never actually occurred. A 73-year-old man with history of non-small cell lung carcinoma was admitted with cough, fever, and shortness of breath. He had smoked 20-40 cigarettes a day for more than 40 years but had no chest pain or any previous history of angina, coronary artery disease, hypertension, diabetes mellitus, or hyperlipidemia. About 7 months prior to our evaluation, the patient was hospitalized at an outside facility for shortness of breath and tachycardia. He was briefly treated with anticoagulants but was not discharged on antiarrhythmic medications. Approximately 6 months after this episode, the patient saw his primary care physician for profound weight loss. A chest x-ray revealed a lung mass, and subsequently he was referred to our institution for further evaluation.
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