View source for Palpitations and Dizziness in a 65-Year-Old-Man

{{NHJ|
|mainauthor= '''A.A.M. Wilde'''
|edition= 2005:5,189
}}
[[Image:Puzzle_2005_5_189_fig1.jpg|Figure 1|thumb]]
A 65-year-old male presented with palpitations and
dizziness of sudden onset, without any associated
chest pain or other symptoms. His medical history
includes an inferior myocardial infarction three years
ago, treated with primary percutaneous transluminal
coronary angioplasty (PTCA). No acute complications
were reported and he had been without symptoms
ever since.
With the exception of a low blood pressure (90/60
mmHg), physical examination reveals no abnormalities.
His ECG is shown in figure 1 (standard calibrations).

'''What is your diagnosis?'''

[[Puzzle_2005_5_189 - Answer|Answer]]