December 4, 2013

55 year old male with chief complaint of palpitations.  Denies any chest pain, shortness of breath, diaphoresis, or syncope.  His past medical history is significant for diastolic congestive heart failure, type 2 diabetes mellitus, hypertension, and hyperlipidemia. Per patient he had a diagnosis of atrial fibrillation vs ventricular tachycardia 2 years prior, but he is unsure of which one exactly. BP: 153/83     HR: 183     RR: 18     O2 on RA: 99%     Temp: 36.3 ECG from triage is shown...
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