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The ECG was interpreted as showing atrialflutter with 2:1 conduction. The heart rate could be compatible with that of a 2:1 conducted atrialflutter. Also, lead I could give the initial impression of showing flutter waves. After atrial rhythm/SR was restored the patient slowly improved.
Bloodpressure was normal (109/83). The patient was found to have a "concealed" posteroseptal pathway (WPW without delta waves) confirmed to have SVT at EP study and was ablated. He acknowledged that he had palpitations. but only when asked. He had a history heavy alcohol use. Sustained SVT could not be induced after that." "Due
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