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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 341:1217-1224 October 14, 1999 Number 16
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Case 31-1999— A 33-Year-Old Man with Wide-Complex Tachycardia and a Left Ventricular Mass
Henry M. Greenberg, and H. Thomas Aretz

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Presentation of Case

A 33-year-old man was admitted to the hospital because of wide-complex tachycardia.

The patient had been well until the evening of admission, when he had a five-minute episode of palpitations accompanied by dyspnea, dizziness, and a rapid, irregular pulse. He came to the hospital, where an electrocardiogram showed several episodes of wide-complex tachycardia at a rate of 150 to 190 beats per minute; each episode was associated with palpitations and dizziness. Lidocaine was administered intravenously, and no additional episodes occurred.

The patient had a history of hypertriglyceridemia, with recorded triglyceride levels of up to 1203 mg per deciliter (14 mmol . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Henry M. Greenberg's Diagnosis

Pathological Discussion

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