Full 2L QBank
Medicine ECG and Arrhythmias 1 ec6d0efd

A 52-year-old woman presents with exeional fatigue and ascites. She is noted to have a rapid, irregular pulse rate. The chest X-ray reveals a small hea with calcification seen on the lateral view. The 12-lead ECG demonstrates low QRS voltage. Clinical diagnosis is?

A
Rheumatic pan-carditis
B
Constrictive pericarditis
C
Restrictive cardiomyopathy
D
Acute cor-pulmonale
High-Yield Explanation
Calcification & low QRS voltage - indicates Constrictive pericarditis Other option: 1. Restrictive cardiomyopathy -No calcification 2. Acute Cor pulmonale- clots will be present 3. Rheumatic pan carditis - affects children

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