A fainting lady with some extrasystoles: Difference between revisions
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[[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 | A30-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 | |||
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. | are shown, calibration is given in the margin. | ||
'''What is your diagnosis and what would your treatment be?''' | '''What is your diagnosis and what would your treatment be?''' | ||
Revision as of 09:57, 26 September 2007
Authors: A.A.M. Wilde and H.L. Tan, Cardiologists, AMC, Amsterdam, The Netherlands
A30-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?
Credits
These Rhythm Puzzles have been published in the Netherlands Heart Journal and are reproduced here with permission from the publisher.