Palpitations in a 43-year-old man.

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

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...

Chronic thromboembolic disease in a 43-year-old man.

Case Report A 43-year-old man was admitted to the hospital complaining of nonproductive cough, progressive shortness of breath, increasing dyspnea on exertion, and fatigue of approximately 3 months’ duration. The patient stated he could no longer walk without shortness of breath. He denied syncope, lightheadedness, palpitations, chest pain, wheezing, hemoptysis, fever, weight change, or night s...

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...