This case report is kindly provided by Michael Rosengarten from McGill and is part of the McGill Cases. These cases come from the McGill EKG World Encyclopedia.


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This is a recording from an elderly man with renal failure, a lung disease, peripheral vascular disease, congestive heart failure with an LVEF of 10%, and atrial fibrillation on past cardiograms. This recording was made after 3 weeks of therapy with digoxin 0.0625 mg P.O. QD.