case of palpitations

ECG of previous case history.

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No p wave atrial fibrillation Investigate Lipid profile T3t4tsh Serum electrolyte Mri brain Blood thinner Beta blocker

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Paroxysmal atrial tachycardia with first degree heart block with left axis deviation

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S.rhythm with lots of PACS

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Librium 25 mg.

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AF

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