White wolf

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Simulated case:
A 36-year-old male, called Joe, comes to the ER with sudden palpitations lasting 15 minutes. He was at rest and denies chest pain. No family history of similar issues. Physical examination is normal The physician ordered metoprolol for the next episode and sent him home 💀.




Three days later, the patient came back (he was at the same time, expecting to find -or avoid- the physician), and said that he had palpitations and dizziness. He was experiencing tachycardia. He mentioned that he had taken the medication.

Re-check

The first EKG - short PR, delta wave: WPW (Wolff-Parkinson-White syndrome)
- AV node blockers are not the best option.

Maybe the physician was looking for the "Wolf" and "White" rather than the unusual WPW.
















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