Palpitations in a 64-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...

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

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...

Clinical Reasoning: A 64-year-old man with visual distortions.

SECTION 1 A 64-year-old right-handed man presented to the emergency department with a 4-week history of bilateral blurred and distorted vision. He reported that objects in his central visual field appeared to change shape and were disproportionately large or small. He also reported intermittent flashes of light with altered color perception. His medical history was notable for prostate cancer t...

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...