Interactive Medical Case

Graham T. McMahon, M.D., M.M.Sc., Editor, Joel T. Katz, M.D., Associate Editor, Bruce D. Levy, M.D., Associate Editor, Joseph Loscalzo, M.D., Ph.D., Associate Editor

The Beat Goes On

John J. Ross, M.D., Kathryn A. Britton, M.D., Akshay S. Desai, M.D., and William G. Stevenson, M.D.

N Engl J Med 2010; 362:e53April 15, 2010DOI: 10.1056/NEJMimc0808863

Case

A 45-year-old white man was brought to the emergency room by emergency-medical-services personnel after a syncopal event. He did not report any chest pain. He was found to have a monomorphic, wide-complex tachycardia at a rate of 240 beats per minute, with a blood pressure of 110/50 mm Hg. Amiodarone was administered without effect. His systolic blood pressure subsequently fell . . .

Learn more about Interactive Medical Cases

 

To save your progress and resume later, Sign-in or Create a FREE account. Your work is saved automatically upon sign-in.

 

Play as a guest. Please note that your work will not be saved. Play now.

Feedback | Take Our Survey

About Interactive Medical Cases

Each interactive case presents an evolving patient history and a series of questions and exercises designed to test your diagnostic and therapeutic skills. You will receive immediate feedback on your answers and treatment choices, along with the opportunity to compare your final score with those of your peers. Video, animation, and interactive content allow you to learn more about mechanisms, diagnostic tests, and treatments.

• Signing in at the beginning of the case allows you to save your progress and resume later. Work by users who are not signed in will not be saved.
• A link at the end of the case leads to a CME examination; you can claim up to 2 AMA PRA Category 1 Credits™ for participating.
• Please share your opinions about the case by taking our survey.

Pilot Phase: For a limited time, the Interactive Medical Cases will be in a pilot phase, during which this content and service will be available free. Your feedback is welcome and will be used to improve the interface and functionality of future Interactive Medical Cases.

See All Interactive Medical Cases

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

Citing Articles (1)

Citing Articles

1. 1

   Britton , Kathryn A. , Stevenson , William G. , Levy , Bruce D. , Katz , Joel T. , Loscalzo , Joseph , . (2010) The Beat Goes On. New England Journal of Medicine 362:18, 1721-1726
   Full Text