Fast and Furious

doi:10.1136/bmj.b2339

Published 1 July 2009, doi:10.1136/bmj.b2339
Cite this as: BMJ 2009;339:b2339

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Fast and Furious

Justine Bhar-Amato, research fellow

¹ Heart Hospital, London W1G 8PH

j.bhar-amato@ucl.ac.uk

The first 150 words of the full text of this article appear below.

A 65 year old man attended the accident and emergency departmentcomplaining of episodic palpitations associated with dizziness.He had a pulse of 250 beats/min with a regular rhythm and ablood pressure of 105/78 mm Hg. Physical examination was otherwisenormal. He had a history of paroxysmal atrial fibrillation andwas taking flecainide 100 mg twice a day and warfarin.

Electrocardiography was performed on admission (fig 1). Subsequently,a 6 mg bolus of adenosine was administered and a continuoustwo lead rhythm electrocardiogram recorded (fig 2).

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Fig 1 Electrocardiogram on admission

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Fig 2 A two lead electrocardiogram recorded during and after administration of an adenosine bolus. (A) Trace from the precordial leads during administration of an adenosine bolus; lead V1 at the top and lead II below. (B) Continuation of the trace from the precordial leads following administration of an adenosine bolus; lead V1 at the top . . . [Full text of this article]