There are five parts to this answer and summary

 
As it turns out, this patient has been experiencing palpitations of this type since she was 14 years old. She was told during her youth that they were due to anxiety. The SVT, therefore, is longstanding and has nothing to do with her malignancy diagnosis or her previously diagnosed pericardial disease. Because she was now having episodes several times per day, she was taken to the electrophysiology laboratory where RF ablation was successful in eliminating the slow version of the dual pathways and SVT was fixed.
 

 

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Address questions about the ECG’s by E-mail to:

Dr. Winston swinston@michiganheart.com

Forwinstons@mediaone.net

(send to both addresses for a more prompt response)

Dr. Judge rjudge@umich.edu

Dr. Lehmann lehmann@umich.edu