Puzzle 2004 3 123, One to one, one to two, two to one? What is the rhythm?: Difference between revisions

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Authors: '''A.A.M. Wilde''' and '''H. Tan''', Cardiologists, AMC, The Netherlands
{{NHJ|
|mainauthor= '''A.A.M. Wilde''' and '''H. Tan'''
|edition= 2004:3,123
}}
[[Image:Puzzle 2004 3 123 fig1.jpg|Figure 1|thumb]]
[[Image:Puzzle 2004 3 123 fig1.jpg|Figure 1|thumb]]
A 18-year-old boy is suffering from palpitations without specific triggers. It started when he was 12 years old. Sometimes he feels dizzy which usually coincides with very fast palpitations. On other occasions, he feels palpitations (less fast) without dizziness. Also, there are transitions between both sensations. On one such occasion, he presents at the hospital. An ECG is taken of which the six precordial leads are shown here. The calibration is as usual (i.e., 10 mm=1 mV and 400 ms, respectively).  
A 18-year-old boy is suffering from palpitations without specific triggers. It started when he was 12 years old. Sometimes he feels dizzy which usually coincides with very fast palpitations. On other occasions, he feels palpitations (less fast) without dizziness. Also, there are transitions between both sensations. On one such occasion, he presents at the hospital. An ECG is taken of which the six precordial leads are shown here. The calibration is as usual (i.e., 10 mm=1 mV and 400 ms, respectively).  


What is your diagnosis?
'''What is your diagnosis?'''


[[Puzzle 2004 3 123, One to one, one to two, two to one? What is the rhythm? - Answer|Answer]]
[[Puzzle 2004 3 123, One to one, one to two, two to one? What is the rhythm? - Answer|Answer]]
==Credits==
These Rhythm Puzzles have been published in the Netherlands Heart Journal and are reproduced here with permission from the publisher.

Latest revision as of 10:03, 26 September 2007

Author(s) A.A.M. Wilde and H. Tan
NHJ edition: 2004:3,123
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
Figure 1

A 18-year-old boy is suffering from palpitations without specific triggers. It started when he was 12 years old. Sometimes he feels dizzy which usually coincides with very fast palpitations. On other occasions, he feels palpitations (less fast) without dizziness. Also, there are transitions between both sensations. On one such occasion, he presents at the hospital. An ECG is taken of which the six precordial leads are shown here. The calibration is as usual (i.e., 10 mm=1 mV and 400 ms, respectively).

What is your diagnosis?

Answer