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21-12-2015 | Rhythm Puzzle Question | Uitgave 2/2016 Open Access

Netherlands Heart Journal 2/2016

A regularly irregular rhythm—what is the diagnosis?

Netherlands Heart Journal > Uitgave 2/2016
A-D. Margulescu, O.A. Enescu, D. Vinereanu
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?
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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