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It's Not What You Think it Is: Difference between revisions
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m (New page: {{NHJ| |mainauthor= '''A.A.M. Wilde, R.B.A. van den Brink''' |edition= 2005:6,244 }} Figure 1|thumb Figure 2|thumb...) |
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[[Image:Puzzle_2005_6_244_fig2.jpg|Figure 2|thumb]] | [[Image:Puzzle_2005_6_244_fig2.jpg|Figure 2|thumb]] | ||
A 20-year-old male is having palpitations. They | |||
occur without a specific trigger, although episodes | occur without a specific trigger, although episodes | ||
are sometimes related to emotion or exercise. Duration | are sometimes related to emotion or exercise. Duration | ||
| Line 23: | Line 23: | ||
is normal and no P wave can be identified. The | is normal and no P wave can be identified. The | ||
differential diagnosis is: | differential diagnosis is: | ||
# atrioventricular nodal reentry | # atrioventricular nodal reentry tachycardia (AVNRT), | ||
tachycardia (AVNRT), | # orthodromic tachycardia with a concealed bypass (AVRT) and | ||
# orthodromic tachycardia | # atrial tachy-cardia. Adenosine was administered and the ECG presented in figure 2 was recorded. | ||
with a concealed bypass (AVRT) and | |||
# atrial tachy-cardia. Adenosine was administered and the ECG | |||
presented in figure 2 was recorded. | |||
'''What is your diagnosis and what would your further | '''What is your diagnosis and what would your further | ||
treatment be?''' | treatment be?''' | ||
[[Answer]] | [[Puzzle 2005_6_244 - Answer|Answer]] | ||