ECG Challenge: September 30, 2014

Introduction

A 56-year-old male with a history of prostatic hypertrophy presents to the emergency room with a complaint of inability to void. He is observed to have urinary retention and a Foley catheter is inserted. He is admitted to the hospital and placed on telemetry. An ECG is obtained (ECG A).

Several hours after admission he spikes a temperature to 102°F and is felt to have a urinary tract infection and antibiotics are begun. The nurse notes a change in his QRS complexes on telemetry and an ECG is repeated (ECG B).

What is the diagnosis?

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To submit your diagnosis, go to http://circ.ahajournals.org/letters/submit/circulationaha;130/14/1204. The diagnosis will follow in next week’s issue (October 7).

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