A 29 yr old female presented with persistent sinus tachycardia, HR of > 140/min. She has a strange history of palpitation more on taking food and after meals. Thyroid, echo, holters,CXR PA view,CBC and all other routine investigations - within normal limits. She also has h/o 2-3 cardiologists consultations and was placed on either b- blockers or ivabradine to control the heart rate. Attached below are her investigations and ECG. Kindly give your valuable opinions and comments.


@Dr. Shigil Mathew see this article on gastric carcinoid , diagnosis topic ncbi.nlm.nih.gov/pmc/articles/PMC1768473/
Read the article...thank you for that information.I did know a bit about carcinoid tumours but not like this...thanks a lot...saved it for future reference...

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