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Images in Clinical Medicine
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Volume 341:1275 October 21, 1999 Number 17
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Tremor as a Cause of Pseudo–Ventricular Tachycardia

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Figure 1. An 84-year-old woman with a history of falling was found on the ground unable to get up. On admission to the hospital for evaluation of syncope, she had a normal pulse and blood pressure. Examination revealed a masklike face, bradykinesia, gait instability, and a pill-rolling tremor. An electrocardiogram showed the 4-to-6-Hz tremor associated with Parkinson's disease. The QRS complexes are indicated by the arrows. Postural instability associated with Parkinson's disease was the most likely cause of the patient's falls.

 


Rafael Llinas, M.D.
Beth Israel Deaconess Medical Center
Boston, MA 02215


Galen V. Henderson, M.D.
Brigham and Women's . . . [Full Text of this Article]


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