A 44-year-old male presented with palpitations. His medical history was otherwise uneventful and the family history revealed pacemaker implants in two of his father’s brothers in their fifties and in one of his brothers (mid-forties). His father was 74 years of age and without cardiac complaints. Physical examination revealed no abnormalities. The ECG presented in image 1 was obtained. After an adequate period of anticoagulation therapy, electrical cardioversion (ECV) was planned.
Image 2 is the ECG shortly after ECV. The patient was not on any therapy other than anticoagulants. What would be your diagnosis for this case? This image based case is from Docplexus editorial team for educative purpose only. Source: ECGpedia
