Older adults might present with atypical symptoms, such as “just not feeling right.” Some experience a decreased sensation of dyspnea itself, so they do not even report feeling short of breath. Older patients also may present with various comorbid conditions that are causing shortness of breath, such as congestive heart failure or COPD. This can lead to misdiagnosis.
The ECG in the figure was obtained from a man in his 30s. How would one interpret this tracing if told the patient’s only symptom was recent shortness of breath on exertion that he had not experienced?