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ECG puzzle: Appearances Can be Deceiving: Difference between revisions
ECG puzzle: Appearances Can be Deceiving (view source)
Revision as of 20:46, 7 October 2007
, 7 October 2007no edit summary
m (New page: {{NHJ| |mainauthor= '''T.A. Simmers''' |edition= 2005:1,23 }} Figure 1|thumb '''Case''' A 61-year-old male was referred with symtoms of exertional dysp...) |
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[[Image:Puzzle_2005_1_23_fig1. | [[Image:Puzzle_2005_1_23_fig1.jpg|Figure 1|thumb]] | ||
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[[Puzzle 2005_1_23 - Answer | Answer]] | [[Puzzle 2005_1_23 - Answer | Answer]] | ||
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[[Image:Puzzle_2005_1_23_fig4.jpg|Figure 4|thumb]] | |||
This patient has an atrial arrhythmia at a rate of 250 beats/min with a relatively slow ventricular response even off antiarrhythmic drugs. There is evidence of an old anteroseptal myocardial infarction. Given the diastolic dysfunction caused by his hypertrophic cardiomyopathy, the lack of atrial kick this tachycardia represents may at least partly explain the dyspnoea. | This patient has an atrial arrhythmia at a rate of 250 beats/min with a relatively slow ventricular response even off antiarrhythmic drugs. There is evidence of an old anteroseptal myocardial infarction. Given the diastolic dysfunction caused by his hypertrophic cardiomyopathy, the lack of atrial kick this tachycardia represents may at least partly explain the dyspnoea. | ||