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Gepubliceerd in: Netherlands Heart Journal 1/2014

Open Access 01-01-2014 | Rhythm Puzzle - Question

Saturday night broad QRS complex tachycardia in a young male

Auteurs: J. E. C. van de Swaluw, R. van Mechelen

Gepubliceerd in: Netherlands Heart Journal | Uitgave 1/2014

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ZOEKEN
On a Saturday night, a 24-year-old male with palpitations was admitted to the Emergency Department. The arrhythmia started 8 h earlier while he was riding his bicycle. He had never experienced this sensation before. He admitted prior usage of cocaine, LSD and XTC. He denied the use of any drugs on the night of presentation. Physical examinations revealed no abnormalities except a very fast heart rate. The arrhythmia did not respond to carotid sinus massage. Laboratory investigation demonstrated no abnormalities. The ECG on admission is shown (Fig. 1). Spontaneously the rhythm changes (Fig. 2). What is your diagnosis?
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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Metagegevens
Titel
Saturday night broad QRS complex tachycardia in a young male
Auteurs
J. E. C. van de Swaluw
R. van Mechelen
Publicatiedatum
01-01-2014
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 1/2014
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-013-0488-6