ECG of the month. Fatigue in a 34-year-old woman. Sinus bradycardia, right axis deviation, and right ventricular enlargement.
This obese, diabetic patient gives a history of a heart operation performed through a median sternotomy in the first year of her life. She is acyanotic and has a soft left parasternal systolic murmur that increases with inspiration. Her electrocardiogram (ECG) is shown below.
Glancy
D Luke
DL
Department of Medicine, Louisiana State University Health Sciences Center, New Orleans, USA.
Tan
Chun W
CW
D000328:Adult; D001146:Arrhythmia, Sinus / Q000175:diagnosis; D001919:Bradycardia / Q000175:diagnosis; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005221:Fatigue / Q000175:diagnosis*; D005260:Female; D006801:Humans; D014188:Transposition of Great Vessels / Q000175:diagnosis* / Q000601:surgery; D018497:Ventricular Dysfunction, Right / Q000151:congenital / Q000175:diagnosis