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Gepubliceerd in: Netherlands Heart Journal 3/2014

Open Access 01-03-2014 | Rhythm Puzzle - Question

Should you be worried?

Auteurs: J. Elias, A. R. Willems, A. A. M. Wilde

Gepubliceerd in: Netherlands Heart Journal | Uitgave 3/2014

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ZOEKEN
A 23-year-old man was referred to the emergency room with complaints of dyspnoea and dizziness followed by rapid palpitations. He had no relevant medical history and was not using any medication. The family history was negative for arrhythmias and sudden death. Physical examination revealed a tachycardia of 160 beats/min with a normal blood pressure; also, a frog sign was visible. Initial laboratory tests and echocardiography did not demonstrate any abnormalities. After administration of adenosine 9 mg intravenously, the tachycardia was terminated and there was conversion to sinus rhythm.
His electrocardiogram is shown in Fig. 1. 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
Should you be worried?
Auteurs
J. Elias
A. R. Willems
A. A. M. Wilde
Publicatiedatum
01-03-2014
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 3/2014
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-014-0527-y