Country cardiograms case 2
Jim Thompson, MD, CCFP(EM), FCFP
Sundre, Alta.
Can J Rural Med 1996; 1 (2): 82
Case presentation
A 16-year-old boy repeatedly presented to our rural clinic and emergency department in normal sinus rhythm but with a history of palpitations. His electrocardiograms had always been normal. On the advice of a cardiologist, we did an exercise treadmill test to see if we could provoke arrhythmia but were unable to do so. The results of Holter monitoring were also normal. We continued to watch the patient, and eventually he presented with the electrocardiogram shown below.
What is your diagnosis, and how would you manage this patient in your rural setting? See answer and discussion on page 99.
"Country cardiograms" is a regular feature of the Canadian Journal of Rural Medicine. In each issue we will present an electrocardiogram and discuss the case in a rural contxSubmit cases to Dr. Jim Thompson, Canadian Journal of Rural Medicine, Bag 5, Sundre AB T0M 1X0 (email jthompso@agt.net).
Table of contents: Can J Rural Med vol 1 (2)
Copyright 1996, Canadian Medical Association