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This is an older woman with recurrent spells that seem to be associated with a tachyrhythmia that was subsequently determined to be paroxysmal atrial fibrillation. Atrial fibrillation is common in this age group even in the absence of detectable cardiac or systemic disease. At some point
Commentary
References
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N Engl J Med 1996;
335:594-596, Aug 22, 1996.
Correspondence
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