A 19-year-old young man presents in your outpatient clinic with a history of palpitations. He had had one episode a few weeks ago but that episode terminated spontaneously. Another, more recent episode, had to be terminated in the hospital.
His medical history is unremarkable and his family history reveals a pacemaker implant at age 42 in his mother’s brother. Physical examination reveals no abnormalities. His ECG is shown in Fig. 1. What would be your diagnosis?
Fig. 1
ECG at presentation
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Answer
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