109. Weakness and Bradycardia in an Elderly Female Patient

  1. Christopher P. Holstege MD1,2,3,
  2. Alexander B. Baer MD1,4,
  3. Jesse M. Pines MD, MBA, MSCE5,6 and
  4. William J. Brady MD7,8,9
  1. William J. Brady MD7,8,9

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch109

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Brady, W. J. (2011) Weakness and Bradycardia in an Elderly Female Patient, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition (eds C. P. Holstege, A. B. Baer, J. M. Pines and W. J. Brady), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch109

Editor Information

  1. 1

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 2

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 3

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 4

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 5

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 6

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 7

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 8

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 9

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Author Information

  1. 7

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  2. 8

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  3. 9

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 109, weakness and bradycardia - in elderly female patient;
  • 78-year-old woman, with history of coronary artery disease - weakness associated with chest pain;
  • vital signs, only for bradycardia - with rate of 55 beats per minute;
  • 12-lead ECG, demonstrating - sinus bradycardia at rate of 62 beats, inferior ST segment depression;
  • patient, diagnosed with non-ST elevation myocardial infarction - appropriate therapy;
  • patient, developing hypotension - with profound weakness, and recurrent chest pain;
  • blood pressure, 85 mmHg by palpation - and pulse 25 beats per minute;
  • frequent etiology of type of rhythm being - (See page 180 for Answer)