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
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 Puzzle 2004 2 73|Answer]]
'''What is your diagnosis and what would your treatment be?'''
 
[[Puzzle_2004_2_73%2C_A_fainting_lady_with_some_extrasystoles_-_Answer|Answer]]