158
Puzzle
Address for correspondence: Dr. Semi Öztürk, Haseki Eğitim ve Araştırma Hastanesi Kardiyoloji Kliniği, 34096 Aksaray, Fatih, İstanbul-Türkiye
Phone: +90 212 529 4400 Fax: +90 212 589 6229 E-mail: semi_ozturk@yahoo.com Accepted Date: 17.11.2016
©Copyright 2017 by Turkish Society of Cardiology - Available online at www.anatoljcardiol.com DOI:10.14744/AnatolJCardiol.2016.7200
Answer: p. 165 A-28-year-old woman presented at the outpatient clinic with
a complaint of dizziness. She denied a syncope or presyncope. She did not have a history of drug use. Her medical history was normal. Physical examination findings were normal. Her heart rate and blood pressure were 95 and 130/75, respectively. Her electrocardiogram is displayed in Figure 1. A 30-second rhythm strip also showed the same rhythm. Echocardiography findings were normal. Laboratory test results were normal. What is your preliminary diagnosis?
A. Left bundle branch block
B. Accelerated idioventricular rhythm C. Preexcitation syndrome
D. Nonspecific intraventricular conduction delay
What is your diagnosis?
Figure 1. ECG of the patient at presentation showed wide QRS complexes
