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01-08-2014 | Rhythm Puzzle Question | Uitgave 7-8/2014 Open Access

Netherlands Heart Journal 7-8/2014

A Change Of Heart

Netherlands Heart Journal > Uitgave 7-8/2014
F. M. Zimmermann, E. van Mierlo, A. Meijer, L. R. Dekker


A 52-year-old man, without a cardiac medical history, was admitted to the emergency room with chest pain. Physical examination revealed no abnormalities. On presentation, his chest pain had spontaneously disappeared and the ECG did not show significant abnormalities. Thirty minutes later the chest pain reoccurred. A second ECG at that moment is shown in Fig. 1.
What is your diagnosis and can you explain the mechanism?
You will find the answer elsewhere in this issue.
Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.

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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

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