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{{NHJ| | |||
|mainauthor= '''A.A.M. Wilde''' | |||
|edition= 2009:02,077 | |||
}} | |||
[[File:Puzzle2009_02.jpg|thumb]] | |||
An 83-old-female patient presents to your outpatient clinic with a history of syncope. It has occurred | |||
three times in the last few months and there were no specific triggers. She is otherwise feeling well, has no | |||
other complaints and does not have any relevant medical history. Physical examination reveals no abnormalities | |||
except for a relatively slow heart rate (45 beats/min). Her ECG is presented in figure 1. | |||
'''What is your diagnosis and what would you consider the most likely cause of her complaints.''' | |||
== Answer == | == Answer == |