ECG Challenge: November 19, 2013

Print ISSN: 0009-7322. Online ISSN: 1524-4539 Copyright 2013 American Heart Association, Inc. All rights reserved.

is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231Circulation doi: 10.1161/CIRCULATIONAHA.113.006929

2013;128:2344Circulation.

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ECG Challenge

2344

ECG Challenge: November 19, 2013

(Circulation. 2013;128:2344.) 2013 American Heart Association, Inc.Circulation is available at http://circ.ahajournals.org DOI: 10.1161/CIRCULATIONAHA.113.006929

Correspondence to Philip J. Podrid, MD, West Roxbury VA Hospital, Section of Cardiology, 1400 VFW Pkwy, West Roxbury, MA 02132. E-mail ppodrid@circulationjournal.org

A 22-year-old graduate student presents to the student health center because of palpitations that were present for 2 hours. They occurred after she was jogging. She states that she has had similar palpitations in the past, but they were usually of a briefer duration.

An ECG (A) is obtained during the palpitations.

Adenosine is administered, which terminated the arrhythmia. A second ECG (B) is obtained thereafter.

What is the diagnosis?To submit your diagnosis, go to http://circ.ahajournals.org/letters/submit/circulationaha;

128/21/2344. The diagnosis will follow in next weeks issue (November 26).Please go to the journals Facebook page for more ECG Challenges: http://goo.gl/cm4K7.

Challenges are posted on Tuesdays and Responses on Wednesdays.

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