We are so excited about this case we bring it to you a day early

Case: Alexandra Monrovia is a 38yo cross-fitter with minimal past medical history who presents “feeling tired” with palpitations for the last hour. Notably she finished her third deep fried oreo at onset of symptoms. In the ED she is afebrile, BP 90/50 (baseline BP 125/70s from recent yearly gyn visit), and breathing 22 times a minute with 95% saturation on RA. She appears uncomfortable, slightly diaphoretic, but is conversing in full sentences. her ECG is below


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