A 35-year-old woman was referred to the arrhythmia clinic becauseof palpitations and a finding of ventricular extrasystoles ona Holter recording. She had no history of heart disease, andher electrocardiogram (Figure 1) and echocardiogram were interpretedas normal.
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Figure 1. Electrocardiographic Tracings Obtained before Referral of the Patient.
The base-line electrocardiogram (Panel A) had been interpreted as normal. The QT interval and the corrected QT interval are 400 and 448 msec, respectively. The QT in the Holter recording (Panel B) shows a clear notch in the T wave (arrows). The ventricular extrasystoles appear to originate from the end . . . [Full Text of this Article]
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From the Department of Cardiology, Sourasky-Tel Aviv Medical Center and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel (S.V., R.F., A.R., B.B.); and the Department of Cardiology, University of Pavia and Policlinico San Matteo Istituto di Ricovero e Cura a Carattere Scientifico, Pavia, Italy (P.J.S.).
Address reprint requests to Dr. Viskin at the Department of Cardiology, Tel Aviv Medical Center, Weizman 6, Tel Aviv 64239, Israel, or at viskin_s@netvision.net.il.
References
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