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Old 06-12-2012
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Default palpitations picked up as VT on holter...ur management ? with expln plz.!

A colleague asks you to evaluate a 62-year-old woman for
occasional palpitations and dizziness for the past two years. An
event monitor was used, which recorded several short runs of
monomorphic ventricular tachycardia and during which the
patient noted palpitations and dizziness. Six months ago, the
patient underwent a cardiac catheterization, which was
essentially normal. Her past medical history is significant only
for a hysterectomy. Her blood pressure is 132/66 mm Hg, heart
rate is 72/min, and respirations are 14/min. The physical
examination is normal. All recent laboratory tests, including
thyroid, cholesterol, and electrolytes are within normal limits.
The EKG reveals a normal sinus rhythm at 70/min. An
echocardiogram is normal. Which of the following statements is
true regarding this patient?

(A) The patient should be reassured and sent home on a beta-
(B) The patient's condition is associated with a high incidence of
sudden cardiac death
(C) The patient requires electrophysiologic studies (EPS)
(D) Placement of an implantable defibrillator is indicated
(E) Stress echocardiography is indicated at this time to assist in
the management of this patient's condition
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