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Recurrent syncope
  1. R J R Mansfield,
  2. R D Thomas
  1. Cardiac Centre, Royal United Hospital, Bath, UK
  1. Dr R J R Mansfield, Cardiovascular Repair and Remodelling Group, 5th Floor Sir Jules Thorn Institute, Middlesex Hospital, Mortimer Street, London W1N 8AA, UK r.mansfield{at}

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Answers on p 352.

A 31 year old man was admitted with recurrent syncope.


Describe the abnormal features on his 12 lead electrocardiogram (fig 1).
What is the diagnosis and what are the causes of this condition?
What classical arrhythmia is associated with this condition?
How would you treat this man?
Figure 1

12 lead electrocardiogram.