HPI
A 68-year-old man has syncope, then has a second syncopal episode while lying still on a stretcher during evaluation at an outpatient clinic. He is sent emergently to the ED. On arrival he remains lightheaded with borderline blood pressure and a ventricular rate in the low 50s. The arrival ECG shows electrocardiographic polyuria, or “too much P”, with more atrial activity than ventricular complexes.
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