A 34-year-old female comes to your outpatient clinic because of her family history. Her father died suddenly at age 42, without prior complaints and her brother died suddenly at age 35. In the years before, he was known with shortness of breath and signs of a cardiomyopathy (LVEF 40 %).
She herself has no symptoms whatsoever. She plays active volleyball. On physical examination you do not find any abnormalities and her echo is completely normal. The ECG is shown in Fig. 1. What would your diagnosis be? Are you worried and/or should she be worried?
Fig. 1
ECG at presentation
×
The answer to this Rhythm Puzzle can be found elsewhere in this number.
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.
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 ...
