SAQ 1227 – Palpitations during swimming with ECG

Marked out of 10.00

A 42-year-old man presents with palpitations while ocean swimming. The episode lasted less than five minutes and this is his third episode this week. He has no associated symptoms. He was triaged to the waiting room and you are asked to review his ECG, shown below.

ECG from a patient with palpitations during swimming
ECG.

Describe his ECG.

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What is the most likely diagnosis?

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What rhythm could have caused his palpitations?

(Marked out of 1.0)


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What questions would you ask in risk assessment?

(Marked out of 2.0)


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He is now asymptomatic with no abnormal examination findings. Cardiology wants to see him tomorrow morning but he is reluctant. What essential information would you convey?

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What investigations are usually performed and why?

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Total Score: 0 / 10

Percentage: 0%