Case 108: A 37-Year-Old-Man with Palpitations - ECG Made Simple

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Practice Level 4

Case 108: A 37 Year-Old-Man with Palpitations

History

Diagnosis

History

This 37-year-old man reports a several year history of occasional palpitations, with isolated runs of “thumps” in his chest:

Diagnosis

Sinus rhythm, with frequent premature atrial complexes (PACs), isolated, in a couplet, and in a run of atrial tachycardia
The first PAC of the couplet is aberrantly conducted (Ashman phenomenon)

ECG ID: E336

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