5th May 2025

A 38-year-old man presents to A&E with one week of intermittent palpitations which are short lived and terminate spontaneously.

A 38-year-old man presents to A&E with one week of intermittent palpitations which are short lived and terminate spontaneously. They are increasing in frequency. There are no precipitating factors. He experiences mild chest discomfort during the episodes but no other symptoms. He smokes and consumes 5 pints of lager per week. He had asthma as a child but no other medical problems. During examination he has an episode of palpitations, and his HR is 150 bpm with a blood pressure of 107/75 mmHg. Heart sounds are normal, and bloods are unremarkable. ECG:

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