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Puzzle 2008 01 062 Answer: Difference between revisions
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m (New page: {{NHJ| |mainauthor= '''A.A.M. Wilde, J. Hrudova, J.G.M. Tans''' |edition= 2009:01,062 }} Figure 1|thumb [[Image:Puzzle_2008_01_062_fig1.jpg|Figure 2|t...) |
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is hampered, ending up in a ventricular rate of | is hampered, ending up in a ventricular rate of | ||
58 beats/min. | 58 beats/min. | ||
The ECG after electrical cardioversion is even more | The ECG after electrical cardioversion is even more | ||
abnormal. The rhythm has been converted to sinus | abnormal. The rhythm has been converted to sinus | ||
| Line 53: | Line 54: | ||
than normal flutter rate, conduction within atrial tissue | than normal flutter rate, conduction within atrial tissue | ||
should be considered abnormal as well. | should be considered abnormal as well. | ||
The most likely explanation for a generalised | The most likely explanation for a generalised | ||
conduction disorder at a relatively young age is aberrant | conduction disorder at a relatively young age is aberrant | ||
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(mutation: p.4118 deletion T leading to a premature | (mutation: p.4118 deletion T leading to a premature | ||
stop codon at position 1373, i.e. Leu1373X). | stop codon at position 1373, i.e. Leu1373X). | ||
It is likely that the atrial flutter is the result of | It is likely that the atrial flutter is the result of | ||
abnormal conduction in the atrium. Pacemaker treatment | abnormal conduction in the atrium. Pacemaker treatment | ||