70+ YOM with complaints of feeling "fuzzy". Pt found to have | Figure 1

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70 yo physician w/ palpitations sent a portable monitor tracing (alivecor/kardia). Is this some type of a flutter with sinus pause ?

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71 yo female no hx of atrial fib, in for hernia repair, converted yesterday evening. Converted back to sinus shortly after multiple >4sec pauses.

Telemetry called to say patient had 15.8 second pause. Patient is in sinus rhythm, so it's a true pause and not attempt to convert from irregular rhythm. Doctors reply was that day team will assess in AM. Thoughts?

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Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history.