A 71 year-old man with HFpEF, PAD, and GERD initially presented to the ED with an acute onset of expressive aphasia and right hemiparesis. He was found to have a left ICA occlusion. He was treated with tPA and mechanical thrombectomy.
On post-stroke day 2, an interval non-contrast head CT is obtained, and reveals a small frank infarct. You are paged by his nurse that he suddenly became tachycardic. A 12-lead ECG is obtained.
(Nesheiwat et al. 2023)
You review the ECG print-out, and then the patient's monitor starts alarming. His heart rate is variable, now bouncing around between the 120s and 140s. The patient seems confused and is pointing at the monitoring screen.
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