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A seventy-two year old black female passed out at home while making Sunday dinne

ID: 6874 • Letter: A

Question

A seventy-two year old black female passed out at home while making Sunday dinner and was taken to the emergency room by her husband. Upon admission the emergency room physician noted that her heart rate was 32 beats per minute. EKG indicated many “p” waves between “QRS” complexes.



•What is this condition called? What are two reasons why this condition would occur?
•What caused this woman to pass out (i.e. lose consciousness)?
•What would be the most likely treatment to correct this problem? How would this treatment help the patient?

Explanation / Answer

- This condition is known as complete heart block. This occurs when there is problem with electrical signal from atrium reaching the AV node. - Due to lack of signals between the parts of heart there will be no blood supply to the brain. This makes the woman to lose consciousness. - Treatment includes the introduction of a pacemaker. This will pump blood to various body parts.

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