Fifty-year-old woman with lightheadedness. Issue 15 (14th July 2017)

• Record Type: Journal Article
• Authors: Gouda, Pishoy; Veenhuyzen, George; Har, Bryan
• Is Part Of: Heart. Volume 103:Issue 15(2017)
• Page Start: 1224
• Page End: 1224
• Publication Date: 2017-07-14
• Subjects: ECG/electrocardiogram -- Cardiac arrhythmias -- resuscitation science; Heart -- Diseases -- Treatment -- Periodicals; Cardiology -- Periodicals; 616.12
• DOI: 10.1136/heartjnl-2017-311201
• Languages: English
• ISSNs: 1355-6037

Abstract

Abstract : Clinical introduction: A 50-year-old woman presented to the emergency department with a 3-year history of worsening episodes of lightheadedness, anxiety and diaphoresis. She was otherwise healthy. Her cardiovascular physical examination was normal apart from an irregularly irregular pulse of 105 beats per minute. When she arrived in the emergency department, a 12-lead ECG was obtained (figure 1 ). Question: What is the most likely diagnosis? Atrial fibrillation (AF) Atrial premature beats Atrioventricular (AV) reciprocating tachycardia Dual AV nodal non-reentrant tachycardia (DAVNNT) AV nodal re-entrant tachycardia