Rheumatology
in Perspective

By Olga Goodman, MD
A RheumaView publication

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Interactive modules by Olga Goodman, MD.Copyright protected · Read termsClose terms

All RheumaView™ interactive modules, quizzes and educational cases are original works developed by Olga Goodman, MD.

Without the author’s prior written permission, you may not copy or republish these modules or their components; extract, reuse or modify their original software code (“engines”); or use that code to build your own modules, quizzes or other products.

You may not claim these works as your own or remove or replace the author’s name or copyright notices. When quoting material, credit Olga Goodman, MD, identify the source and include a direct link to the original.

Free or public access is provided for learning and does not grant permission to copy, adapt or redistribute the materials. Unauthorized use of protected material may constitute copyright infringement. Exceptions and limitations provided by applicable law remain unaffected.

Sharing direct links to the modules is welcome.

© 2026 Olga Goodman, MD. All rights reserved.

Added

Acute Presyncope with a Slow Wide-QRS Rhythm — Clinical Challenge

An original interactive cardiology case by Olga Goodman, MD: acute presyncope, a slow wide-QRS rhythm, staged ECG interpretation, management traps, and a rheumatology bonus round. Free and open to everyone.

Case & Reasoning · Professionals · EN

Olga Goodman, MD · Rheumatology in Perspective

Clinical Challenge · Across Specialties · CR-CARDIO-CHB · English · Free and open to everyone.

In this original interactive case by Olga Goodman, MD, interpret the rhythm, select the most important findings, and work through the decisions before reviewing the explanations and the rheumatology bonus round.

Topics: cardiology, ECG interpretation, bradyarrhythmia, atrioventricular block, cardiac conduction disease, syncope, cardiac pacing, and cardio-rheumatology.

Previous challenge: An ECG That Changes the Next Step · Return to Clinical Challenge

Cardiology, Emergency medicine, Cardio-rheumatology · October 30, 2026 · English

Free and open to everyone. Choose one best answer for each question. Explanations appear after submission; no registration is required.

What best explains the slow wide-QRS rhythm in this patient?

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Educational material by Olga Goodman, MD. Does not replace individual clinical judgment and does not award CME credit.

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Topics: AV blockBradyarrhythmiaCardiac conduction diseaseCardiac pacingCardio-rheumatologyCardiologyClinical ChallengeClinical reasoningComplete heart blockElectrocardiographyEmergency medicineInteractive caseProfessional quizSyncope