When I first came across this dramatic ECG during a database search, the descriptive words “gross” and “distorted” both popped into my head. I had only one specific interpretation in mind and after a little bit of research, my suspicions were confirmed.
Patient’s clinical data: 70-year-old Hispanic man in the ICU with a history of HTN, diabetic nephropathy, and chronic renal insufficiency. Patient died 22 days later.
There are “classic” changes suggestive of this clinical disorder. As evidenced, sinus bradycardia frequently accompanies these changes.
(1.) What is the probable cause here?
(2.) Can you name at least 4 other differential diagnoses?
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