One is Enough, Two is Too Many
|Author(s)||A.A.M. Wilde, R.B.A. van den Brink|
|These Rhythm Puzzles have been published in the Netherlands Heart Journal and are reproduced here under the prevailing creative commons license with permission from the publisher, Bohn Stafleu Van Loghum.|
|The ECG can be enlarged twice by clicking on the image and it's first enlargement|
An otherwise healthy 24-year-old man was referred to our hospital because of drug refractory spells of palpitations accompanied by dizziness. These symptoms recurred several times a month and were terminated with intravenous adenosine. Figures 1 and 2 show the ECGs during palpitations and during normal conditions, respectively.
What is the most likely diagnosis and how can it be treated?