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Arrhythmias (Irregular Heartbeats) Persistent abnormal heart rhythms can disrupt the heart’s pumping efficiency, eventually causing it to enlarge to maintain blood flow. Electrocardiogram (ECG/EKG) An ECG records the electrical activity of the heart and can help detect abnormalities in the heart’s rhythm that might contribute to enlargement.
The patient stated he had a long history of well-controlled hypertension for which he was compliant with his ACE-inhibitor. You will note that it is essentially an unremarkable electrocardiogram except for some PACS. No arrhythmias occurred en route. His vital signs on arrival were HR 77, BP 148/95, RR 16, SpO2 95%.
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