Mystery Quiz

January 8, 2009

Posted by Daniel Frenkel MD PGY-3 and Jeffrey Lorin MD, Assistant Professor, NYU Division of Cardiology

Edited by Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors 

The patient is a 68 year old man with history of smoking, hypertension, hyperlipidemia, and stable exertional angina who presented with an acute posterior wall myocardial infarction. He was found to have a totally occluded left circumflex artery requiring bare metal stent placement. Several hours after stent placement, the nurse calls stating that the patient had an arrhythmia and the following ECG was obtained. The patient is without any acute complaints and his vital signs are stable.

Current EKG:


 (click to enlarge)


Baseline EKG (post-cath, several hours prior to event):


(click to enlarge)

What is the arrhythmia?

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