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01-10-2013 | Rhythm Puzzle - Question | Uitgave 10/2013 Open Access

Netherlands Heart Journal 10/2013

Rapid palpitations: three of a kind?

Netherlands Heart Journal > Uitgave 10/2013
R. Evertz, E. Arbelo, L. Mont
A 33-year-old male with symptoms of rapid palpitations with sudden onset was seen in our institution. The patient did not have any medical history and was not on medical treatment. Baseline electrocardiogram was completely normal. Structural heart disease was excluded and the family history was negative for sudden cardiac death. The patient was referred for electrophysiological study. During the procedure the following tachycardia was induced (Fig.  1). A tachycardia with a heart rate of approximately 200 beats per minute (bpm) with different QRS morphologies can be appreciated. The patient recognised the symptoms. What do we see? What happened and does this give us a clue to the diagnosis?
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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