What would you call it.......

Click on the pictures for a close up view

Make sure you look at the v/s AND 12-lead before coming to your conclusion.

85 y/o male

Chief complaint: episode of chest pressure early in the am, no pressure on our arrival.

Only c/o to EMS was slight dizziness when standing.

Pt presented w/ Skin PWD, clr lung sounds no chest pain or pressure and denies any SOB.

Has no cardiologist and is only on 2 meds for his HTN.

What would you call it?

Confirmed Rhythm: A. Flutter w/ RBBB

Treatment: IV, O2 and monitor only. ER physician ordered for NO meds to be given.