Data Interpretation Questions

Author(s): Stephen Bonner

Description

Question 1.

A 26 year old man presents as an emergency for open reduction and internal fixation of a fractured ankle, caused by a fall from a mountain bike during a competition race the previous night. He appears well, but an ecg is performed since he gives a history of palpitations (FigECG1). The orthopaedic house officer brings it to you as he is concerned that it is not normal.

Questions:
Q1 Describe this ecg.
Q2 What is the most probable diagnosis and how can you easily confirm this?
Q3 What associations are there with this condition?
Q4 How will you anaesthetise him?