A fainting lady with some extrasystoles: Difference between revisions

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Authors: '''A.A.M. Wilde''' and '''H.L. Tan''', Cardiologists, AMC, Amsterdam, The Netherlands
{{NHJ|
|mainauthor= '''A.A.M. Wilde''' and '''H. Tan'''
|edition= 2004:2,73
}}
[[Image:Puzzle 2004 2 73.jpg|thumb|Figure 1]]
[[Image:Puzzle 2004 2 73.jpg|thumb|Figure 1]]


A30-year-old woman presents with repeated
A 30-year-old woman presents with repeated syncope. Her symptoms started a few months ago without a particular trigger. The repeated episodes are not preceded by triggers either. Occasionally she experiences some palpitations followed by dizziness or syncope. She feels healthy otherwise, has no relevant medical history and is not taking any medication. Physical examination reveals no abnormalities, nor does laboratory investigation or echocardiography. Her ECG is presented: leads II, III, aVF, and V4 to V6
syncope. Her symptoms started a few months ago
are shown, calibration is given in the margin.  
without a particular trigger. The repeated episodes are
 
not preceded by triggers either. Occasionally she
'''What is your diagnosis and what would your treatment be?'''
experiences some palpitations followed by dizziness
or syncope. She feels healthy otherwise, has no relevant
medical history and is not taking any medication.
Physical examination reveals no abnormalities, nor
does laboratory investigation or echocardiography.
Her ECG is presented: leads II, III, aVF, and V4 to V6
are shown, calibration is given in the margin. What is
your diagnosis and what would your treatment be?


[[Puzzle_2004_2_73%2C_A_fainting_lady_with_some_extrasystoles_-_Answer|Answer]]
[[Puzzle_2004_2_73%2C_A_fainting_lady_with_some_extrasystoles_-_Answer|Answer]]
==Credits==
These Rhythm Puzzles have been published in the Netherlands Heart Journal and are reproduced here with permission from the publisher.

Latest revision as of 14:15, 19 May 2010

Author(s) A.A.M. Wilde and H. Tan
NHJ edition: 2004:2,73
These Rhythm Puzzles have been published in the Netherlands Heart Journal and are reproduced here under the prevailing creative commons license with permission from the publisher, Bohn Stafleu Van Loghum.
The ECG can be enlarged twice by clicking on the image and it's first enlargement
Figure 1

A 30-year-old woman presents with repeated syncope. Her symptoms started a few months ago without a particular trigger. The repeated episodes are not preceded by triggers either. Occasionally she experiences some palpitations followed by dizziness or syncope. She feels healthy otherwise, has no relevant medical history and is not taking any medication. Physical examination reveals no abnormalities, nor does laboratory investigation or echocardiography. Her ECG is presented: leads II, III, aVF, and V4 to V6 are shown, calibration is given in the margin.

What is your diagnosis and what would your treatment be?

Answer