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Gepubliceerd in: Netherlands Heart Journal 2/2016

Open Access 21-12-2015 | Rhythm Puzzle Question

A regularly irregular rhythm—what is the diagnosis?

Auteurs: A-D. Margulescu, O.A. Enescu, D. Vinereanu

Gepubliceerd in: Netherlands Heart Journal | Uitgave 2/2016

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A 58-year-old woman was admitted with a 2-week history of dizziness and headache. She reported no syncope, chest pain or dyspnoea. Her medical history included hypertension and hypercholesterolaemia for which she was not taking any medications. She had stopped smoking 5 years earlier, and did not drink alcohol or use illicit drugs. On admission, her blood pressure was 200/100 mmHg, and the pulse was regularly irregular with a mean rate of 80 beats/min. The rest of the clinical examination was unremarkable. Except for a moderately increased erythrocyte sedimentation rate, all other laboratory results were normal. The chest X-ray was also normal. The twelve-lead ECG is displayed in Fig. 1.
What does the ECG show? Is this only a rhythm problem or should other diseases be sought? How should the patient be managed?
Answer
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 ...

Metagegevens
Titel
A regularly irregular rhythm—what is the diagnosis?
Auteurs
A-D. Margulescu
O.A. Enescu
D. Vinereanu
Publicatiedatum
21-12-2015
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 2/2016
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-015-0787-1