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m (Created page with '{{NHJ| |mainauthor= '''A.A.M. Wilde''' |edition= 2009:02,077 }} An 83-old-female patient presents to your outpatient clinic with a history of syncope. It has occurred three time…') |
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[[File:Puzzle2009_02.jpg|thumb]] | |||
An 83-old-female patient presents to your outpatient clinic with a history of syncope. It has occurred | 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 | three times in the last few months and there were no specific triggers. She is otherwise feeling well, has no | ||
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except for a relatively slow heart rate (45 beats/min). Her ECG is presented in figure 1. | 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 | '''What is your diagnosis and what would you consider the most likely cause of her complaints?''' | ||
[[Puzzle 2009 02 Answer|Answer]] | [[Puzzle 2009 02 Answer|Answer]] |