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Rodolphe Ruffy, MD; Mary Sears, MD; Louis V. Avioli, MD

Arch Intern Med. 1985;145(3):533-536.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Mary Sears, MD, Resident in Medicine, Jewish Hospital at Washington University, St Louis: A 22-year-old man came to the emergency room of another hospital complain ing of light-headedness and palpitation of several hours' duration, the onset of which had occurred while he was swimming in a lake. On initial examination his systolic BP was 80 mm Hg and his apical rate was too rapid to count. A 12-lead ECG of poor technical quality showed a grossly irregular rhythm without distinguishable organized atrial activity. The ventricular rate averaged 285 beats per minute, and the width of the QRS complex varied from 80 to 120 ms. Deep Q waves were present in the inferior limb leads, and a tall, primordial R wave was noted in the anterior chest leads V₂ and V₃. The patient initially received 1 mg of digoxin in two divided doses intravenously (IV), followed by 6 mg . . . [Full Text PDF of this Article]

Author Affiliations

Footnotes

Reprint requests to Cardiology Division, Jewish Hospital at Washington University, 216 S Kingshighway, St Louis, MO 63110 (Dr Ruffy).

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