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Clinical Image: A 69 year-old woman with chest pain and syncope

A 69 year-old woman with chest pain and syncope

[headline_subtitle subtitle=”Can you come up with the proper diagnosis?”]
Presentation

A 69-year-old woman, with a medical history of myocardial infarction and hypertension, visits the doctor with the following symptoms: fatigue, confusion, chest pain and syncope. These symptoms occur a few times a week. Ambulatory ECG monitoring for two weeks was indicated. During her symptoms the ECG shows the following:

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