SAQ 1195 – Recurrent falls with abnormal ECG

Marked out of 10.00

A 64-year-old man is brought by ambulance after falling at a club. He had three beers during Christmas lunch but does not appear intoxicated. He had a previous ED attendance three months earlier after a fall.

On arrival his BP is 145/90, HR 75/min, oxygen saturation 98% on room air and temperature 37 degrees C. His ECG is shown below. Later you note his previous ED ECG looked the same, and he was discharged with a GP letter for forehead suture removal.

ECG from a patient with recurrent falls
ECG.

What is your ECG interpretation? Outline the features supporting your answer.

(Marked out of 4.0)


/ 4

What are the likely causes of his fall?

(Marked out of 2.0)


/ 2

What investigations are warranted?

(Marked out of 2.0)


/ 2

What is your management of this patient?

(Marked out of 2.0)


/ 2

Total Score: 0 / 10

Percentage: 0%