ECG Challenge: Not Just During Exercise Anymore

Philip J. Podrid, MD

Disclosures

November 07, 2017

A 35-year-old woman who regularly runs half-marathons presents to her primary care provider with complaints of occasional palpitations while running. She has no other symptoms and has never sought medical advice for this. However, she has recently noted palpitations with her usual activities. Her physical examination is normal, but examination of her heart demonstrates an irregularity with episodes of rapid heart beating. A 12-lead ECG is obtained (Figure 1).

Figure 1. Courtesy of Dr Podrid.

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