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Answers on p 134.
A 30 year old man was admitted with palpitations of sudden onset. There was no history of previous episodes. He was a non-smoker, did not take excess alcohol or any recreational drugs, and there was no family history of ischaemic or any cardiac disorders. He was breathless and was hypotensive; his electrocardiogram is given below (fig 1).
- What is the differential diagnosis?
- What is the most likely diagnosis?
- How will you manage this patient acutely?
- What is the long term management?
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