Case Study - JL

JL is a 35 year old Chinese female, who presented to the emergency room with a complaint of palpitation, for the last 6 hours. She has had palpitations on and off, for the last 2 years, averaging about 2 attacks per year. She does not have a past medical history of note. There was also no family medical history of note.Clinical examination was unremarkable, except for a heart rate of about 160/min with a BP of 110/60 mmHg. Precordail examination was within normal limits. No murmurs of note.

The ECG is attached.

Q1. What is your diagnosis?

Q2. What lab test would you like to do?

Q3 How would you manage this patient? Would she require admission?

Q4 Would you refer her for radio frequency Ablation?