Palpitations Again, Have a Closer Look
|Author(s)||A.A.M. Wilde, L.R.C. Dekker|
|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|
An otherwise healthy 57-year-old lady presented with palpitations without dizziness. The symptoms had been present for a couple of years but the number of episodes had increased recently. Onset and termination were always sudden without specific triggers. Physical examination on admission revealed no specific abnormalities except for a rapid pulse (150 beats/min). Blood pressure was normal. The ECG is shown in figure 1 and a few minutes later figure 2 was recorded without any specific intervention.
What is your diagnosis?