A 34-year-old man presents to his primary care provider because of episodes of palpitations that are lengthy, although they appear to resolve spontaneously. A long-term monitor is ordered. While wearing the monitor, he has another episode and comes to the emergency department. By the time he presents, the episode has resolved. However, he is placed on telemetry. Some pauses are noted, and a rhythm strip is recorded.
Figure 1. Courtesy of Philip J. Podrid, MD.
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Cite this: ECG Challenge: A 34-Year-Old With Sporadic Palpitations - Medscape - Jan 20, 2023.