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Postgraduate Medical Journal 2005;81:200; doi:10.1136/pgmj.2004.022145
© 2005 BMJ Publishing Group Ltd and The Fellowship of Postgraduate Medicine.
Postgraduate Medical Journal 2005;81:200
© 2005 Fellowship of Postgraduate Medicine

SELF ASSESSMENT QUESTIONS

Cardiology

Recurrent syncope

M M Massin, C Coremans

Division of Paediatric Cardiology, University of Liege, Belgium

Correspondence to:
Correspondence to:
Dr M M Massin
Division of Paediatric Cardiology, CHR Citadelle (University of Liege), Boulevard du 12è de Ligne, 1, B-4000 Liege, Belgium; martial.massin@chrcitadelle.be

Submitted 18 March 2004

Accepted 23 April 2004

Answers on p 202.

The first 100% of the full text of this article appears below.

A 3 year old previously healthy boy was admitted to the emergency room with a three day history of recurrent syncope. Physical examination showed a regular bradycardia. He was haemodynamically stable. Figure 1Go shows his admission electrocardiogram (ECG).


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Figure 1  Leads S1, S2, and S3 of the ECG obtained at the admission.

 

QUESTIONS

  1. What does his ECG show?
  2. What diagnosis would you consider?
  3. What other investigations would you consider?
  4. How would you treat this patient?

Funding: We thank the Belgian "National Foundation for Research on Paediatric Cardiology" for financial support.


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Recurrent syncope
Postgrad. Med. J. 2005 81: 202. [Extract] [Full Text] [PDF]

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