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Self assessment questions
Recurrent syncope
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  1. M M Massin,
  2. C Coremans
  1. Division of Paediatric Cardiology, University of Liege, Belgium
  1. 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.massinchrcitadelle.be

http://dx.doi.org/10.1136/pgmj.2004.022145

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    Answers on p 202.

    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 1 shows his admission electrocardiogram (ECG).

    Figure 1
    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?

    Answers on p 202.

    Footnotes

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

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