CHIEF COMPLAINT

Sinus tachycardia.

BRIEF HISTORY

This anxious 45-year-old male presents with breathlessness, lightheadedness and a feeling that his heart is beating too fast.

PRIMARY PROCEDURE

TWELVE-LEAD ELECTROCARDIOGRAM EVALUATION, INCLUDES TRACING.

FINDINGS

The P waves were 130/min. The atrial depolarization is consistent with origin at the junction of the high right atrium and superior vena cava. Carotid sinus massage temporarily slowed the heart rate, but it returned to a tachycardic level as soon as the carotid sinus pressure was removed.

ASSESSMENT

Sinus tachycardia.

PLAN

A cardiology consultation was recommended to further evaluate his cardiac status.