Abstract

We recently encountered a 67-year-old lady who was sent by her GP to our Acute Medical Assessment Unit with complains of palpitations. These were significantly affecting her day to day activities. She described the palpitations as a 'thumping' sensation in the chest with 'skipping beats' without any associated shortness of breath, pre syncope or collapse. The symptoms were prominent at lying flat very short lived and the number of events increased over time.

Highlights

  • We recently encountered a 67-year-old lady who was sent by her GP to our Acute Medical Assessment Unit with complains of palpitations

  • Pectus excavatum is a congenital deformation of the chest, presenting as a funnel-shaped impression in the median frontal chest between the fourth and the seventh rib

  • Pectus excavatum is found in Europe in at least one in every 1000 births, mainly in men (70-85%) and often within the same families (35-45%)

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Summary

Introduction

We recently encountered a 67-year-old lady who was sent by her GP to our Acute Medical Assessment Unit with complains of palpitations. An Unusual Case of Palpitations: Pectus Excavatum Zulfiqar Ali Sandhu1*, Sharjeel Shaikh2 and Aidan Buckley3 Her ECG showed frequent supra ventricular ectopics with P wave inversion in V1. Holter monitor showed sinus rhythm with bundle branch pattern with frequent supraventricular and AV junctional ectopics.

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