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A patient with recurrent syncope

Aintree Cardiac Centre, University Hospital Aintree, Lower Lane, Liverpool L9 7AL, UK

Correspondence to:
Correspondence to:
Dr Davis;
gershan.davis@aht.nwest.nhs.uk

Submitted 4 September 2002
Accepted 8 January 2003

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

A 43 year old man presented to the accident and emergency department with a history of feeling light headed followed by loss of consciousness after he had just finished jogging. There was no associated chest pain, palpitations, or seizure activity. He admitted to feeling dizzy and presyncopal almost every time after performing any strenuous exercise. Physical examination and blood investigations including serum cardiac enzymes and troponin I were normal. His admission electrocardiogram (ECG) is shown in fig 1.

View larger version (12K): [in this window] [in a new window]   Figure 1 ECG on admission.

1. What does his ECG show?
   
2. What other investigations would you consider and what might they show?
   
3. What diagnoses would you consider?
   
4. How would you treat this patient?
   

Relevant Article

A patient with recurrent syncope
Postgrad. Med. J. 2004 80: 120-121. [Extract] [Full Text] [PDF]