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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
Differential Diagnosis
Clinical Diagnosis
Dr. Henry M. Greenberg's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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