From wide QRS tachycardia to a diagnostic surprise.

From wide QRS tachycardia to a diagnostic surprise.
Anadolu Kardiyol Derg. 2014 Jun 9;
Authors: Akyüz S, Yazıcı S, Terzi S, Ceylan US, Celiker E
Abstract
A 29-year old male patient presented with a hemodynamically significant ventricular tachycardia. Despite a comprehensive examination, the correct diagnosis was unfortunately established after two years. We discuss why the correct diagnosis was initially overlooked in physical examination, electrocardiogram, echocardiography and cardiac magnetic resonance imaging, and which findings led the cardiologists to misdiagnose the patient. We have organized this report in a format that the information is presented to a consultant physician by a resident physician to simulate the way such information emerges in the real life as we have encountered. The consultant physician responds as new information is presented, expressing his reasoning with the reader.
PMID: 24968974 [PubMed - as supplied by publisher]

Source: The Anatolian Journal of Cardiology - June 9, 2014 Category: Cardiology Authors: Akyüz S, Yazıcı S, Terzi S, Ceylan US, Celiker E Tags: Anadolu Kardiyol Derg Source Type: research