A 19-year-old male with palpitations

Palpitations in a 64-year-old man.

A 64-year-old man presented with several weeks of intermittent irregular palpitations. He had no prior history of cardiac disease, hypertension or syncope. A 12-lead ECG revealed sinus rhythm with premature atrial and ventricular contractions and high QRS voltages consistent with LV-hypertrophy. Cardiac MR revealed asymmetrical septal hypertrophy and marked mid-myocardial hyperenhancement of th...

A 40-Year-Old Man with Rashes and Palpitations.

A 40-year-old Singaporean Indian man with no signifi cant past medical history presented with worsening non-pruritic rashes primarily involving his limbs over a 6-month period. He also reported a near fainting episode associated with recurrent palpitations over the past few weeks. Clinical examination revealed the presence of multiple waxy yellowish-brown dermal papules and plaques over his lim...

Palpitations in a 19-year old man and a slow heart rate at rest

A 19-year-old young man presents in your outpatient clinic with a history of palpitations. He had had one episode a few weeks ago but that episode terminated spontaneously. Another, more recent episode, had to be terminated in the hospital. His medical history is unremarkable and his family history reveals a pacemaker implant at age 42 in his mother’s brother. Physical examination reveals no ab...

A 20-year-old woman with fatigue and palpitations.

A 20-year-old woman presents to the emergency department with fatigue and the sudden onset of palpitations. She reports no history of significant illness or surgery. She says she is not currently taking prescription or over-the-counter medications. She does not smoke, drink alcohol, or use illicit drugs. Her weight is 52 kg (115 lb), her height is 170 cm (67 in), and her body mass index (BMI) i...

Self-assessment corner Palpitations in a 43-year-old man