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My Heart, My Heart, Kickstart My Heart - Page #1
 

Author: Evan Perez, MD
Co Author #1: Joel Deleeuw, BA
Co Author #2: Gerardo Vazquez, MD
Co Author #3: Justin M. Wright, MD

Patient Presentation:
26 yo Caucasian male 1st year medical student presented to clinic complaining of palpitations. The palpitations began during punching bag training. Clinic ECG showed wide QRS tachycardia. He was then escorted to the ER across the street. He had a CT angiogram showing no pulmonary embolism. He received adenosine with no improvement followed by verapamil. He was admitted for further monitoring. He was ultimately electrically cardioverted back to normal sinus rhythm and discharged on metoprolol without a definitive diagnosis. He remained asymptomatic for 2 weeks until he experienced palpitations, nausea, and dizziness while walking around and preparing for a medical school presentation. He presented to our ER for further evaluation.

History:
Past medical history - None (he played sports growing up and passed all pre-participation physicals). <br>Family History - Negative cardiac family history. <br>Social History - Denied alcohol, smoking, drugs and caffeine.

Physical Exam:
Vital signs: <br>BP = 192/86; HR = 74; SpO2 = 100% <br>RR = 20; Temp= 37.1C (98.8F) <br>HT = 185cm (72.8 inches) <br>WT = 81kg (178.2 pounds) <br>General: Alert, mild distress <br>Cardiovascular: Tachycardic, regular rhythm, no murmurs, 2+ pulses. No edema or JVD noted <br>Respiratory: Lungs clear to auscultation, no respiratory distress or cyanosis <br>Chest wall: No tenderness or deformities <br>Neurological: No focal neurologic deficits, normal speech <br>Skin: Warm and dry <br>Psychiatric: Cooperative; appropriate mood and affect

Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.

NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

UPCOMING EVENTS



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11/19-11/22/2026
2026 AMSSM/OHSU Introductory &/or Diagnostic/Interventional Sports US Course

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12/04-12/06/2026
2026 Advanced Team Physician Course

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4/16-4/21/2027
2027 AMSSM Annual Meeting

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© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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