Twenty-nine year old gentleman who presented to an outside hospital with a wide complex tachycardia

Clinical History 179

Twenty-nine year old gentleman who presented to an outside hospital with a wide complex tachycardia in the setting of perceived intermittent palpitations of one year duration. The patient was placed on intravenous procainamide and he converted to normal sinus rhythm. His resting electrocardiogram demonstrated the Wolff-Parkinson-White syndrome. He underwent successful radiofrequency ablation of his left posterior ventricular accessory pathway.
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Twenty-two year old woman with symptomatic palpitations who underwent a successful radiofrequency catheter ablation

Clinical History 175

Twenty-two year old woman with symptomatic palpitations who underwent a successful radiofrequency catheter ablation of a right posteroseptal accessory pathway. This electrocardiogram was obtained priorto her radiofrequency ablation.
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Thirty-seven year old woman with Wolff-Parkinson-White syndrome who returns for a repeat evaluation

Clinical History 168

Thirtv-seven year old woman with Wolff-Parkinson-White syndrome who returns for a repeat evaluation in the setting of medication-induced fatigue and persistent palpitations. Her medications included propranolol. The patient subsequently underwent successful radiofrequency ablation of a right ventricular posteroseptal accessory pathway.
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Fifty-eight year old woman who is being evaluated preoperatively prior to a bilateral mastectomy

Clinical History 136

Fifty-eight year old woman who is being evaluated preoperatively prior to a bilateral mastectomy for cancer of the breast. Her cardiac history includes a normal cardiac catheterization prompted by a chest discomfort syndrome two years before this electrocardiogram. There is no clinical history of palpitations, pre-syncope or a prior myocardial infarction.
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