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An interesting electrocardiogram

Authors :
Wei Zhang
Zhili Li
Yongfei Ai
Source :
Netherlands Heart Journal. 18:557-557
Publication Year :
2010
Publisher :
Springer Science and Business Media LLC, 2010.

Abstract

A 37-year-old man was admitted to our cardiology department with sustained palpitations for 36 hours. He had suffered from paroxysmal palpitations for five years. This had happened one to three times per month, especially in the six months before admission and syncope occurred occasionally. The most useful way to terminate the acute episode of palpitations was a loading dose of propafenone (up to 210 mg). The patient had been diagnosed with dilated cardiomyopathy seven years ago by an ultrasound examination. The onset electrocardiogram (ECG) was a fast and regular rhythm with wide QRS complexes (174 beats/min). During the administration of propafenone, the following ECG was documented (figure 1). What is your diagnosis?

Details

ISSN :
18766250 and 15685888
Volume :
18
Database :
OpenAIRE
Journal :
Netherlands Heart Journal
Accession number :
edsair.doi.dedup.....13e769c8e4e2a8d888ed753b6ebbd691
Full Text :
https://doi.org/10.1007/s12471-010-0834-x