A 74-year-old man with a history of hypertension and hypertensive heart disease, taking lisinopril, hydrochlorothiazide, and a β-blocker, presents to his primary care physician for a routine physical examination. He has no symptoms. His blood pressure is 190/100 mm Hg, and the rest of the physical examination is unremarkable. An ECG is obtained (ECG A).
The patient is sent to the emergency department where his blood pressure is still elevated. An ECG is repeated (ECG B).
What is the diagnosis?
The diagnosis will follow in next week’s issue (March 22).
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- © 2016 American Heart Association, Inc.