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Gepubliceerd in: Netherlands Heart Journal 3/2011

01-03-2011 | Rhythm Puzzle - Question

An unusual electrocardiogram

Auteurs: Zhili Li, Fujun Shang, Wei Zhang, Yi Wang

Gepubliceerd in: Netherlands Heart Journal | Uitgave 3/2011

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Excerpt

A 30-year-old woman was admitted to our Cardiology Department with sustained palpitations for 10 h. She had suffered from paroxysmal palpitations for 3 months. This happened two to five times every week, especially in the month before admission and syncope occurred occasionally. Intravenous injection of propafenone or adenosine was used to terminate the acute episodes of palpitations. There were two different types of onset electrocardiogram (ECG) with a fast and regular rhythm, one was with normal QRS complexes, the other was with wide QRS complexes. The heart was normal on an ultrasonic examination and emission computed tomography. The usual electrocardiogram was undertaken (Fig. 1, upper panel). The significant episode was documented by Holter monitoring (Fig. 1, lower panel). What is your diagnosis?
Metagegevens
Titel
An unusual electrocardiogram
Auteurs
Zhili Li
Fujun Shang
Wei Zhang
Yi Wang
Publicatiedatum
01-03-2011
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 3/2011
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-011-0081-9

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