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問31 / 400

医師国家試験 第114回 問31

一般問題

A 26-year-old woman presented to the emergency room with palpitations and shortness of breath that started suddenly while she was eating breakfast. Although the health-screening examination performed three weeks ago showed delta waves in her ECG, echocardiography taken at a nearby hospital showed no abnormal findings. At presentation, she was slightly hypotensive with a blood pressureof96/68mmHg. HerECGonadmissionshowedanarrowQRS-complex tachycardia at a rate of 180/min. Neither ST elevation nor T wave abnormality was present. What is the most probable diagnosis of the arrhythmia?

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