Key Points Terminology: WPW pattern = ECG evidence of pre-excitation without symptoms. WPW syndrome = pattern plus symptomatic tachyarrhythmia (e.g., AVRT, pre-excited AF). Mechanism: An atrioventricular accessory pathway (e.g., Kent;…
A 29-year-old woman presents to the emergency department with an episode of palpitations and near syncope. She reports several similar episodes in the past that were brief in duration and…
A young patient is brought to the ED complaining of palpitations and mild shortness of breath. The patient does not appear acutely unstable. The following ECG is obtained:
A 15-year-old girl presents is brought to the ED complaining of palpitations and near-syncope. She is found to be tachycardic on arrival and the following ECG is obtained:
A 16-year-old patient presents to the ED complaining of palpitations and lightheadedness. She reports upper body twitching associated with her palpitations and increased levels of stress and anger recently. The…