A 42-year-old male, software engineer, presents…

🩺 Clinical Case Summary

Age: 42m
Complaint: palpitations
System: cardiovascular system

📄 Case Details

A 42-year-old male, software engineer, presents to OPD with:• Recurrent episodes of palpitations for 6 months• Associated dizziness and sweating• Each episode lasts 10–15 minutes• Relieved spontaneously• No chest pain• No past cardiac illnessOn examination (between episodes):1: BP: 130/80 mmHg2: Pulse: 78/min, regular3: CVS: Normal4: CNS: NormalECG (baseline): Normal sinus rhythmQuestion for Discussion1: What is the most likely diagnosis?2: What investigation will confirm it?3: How will you manage this patient?

💬 Clinical Discussion

2 Comments

  • Medicoz Community

    ✅ Verified Answer

    Dear Rakshith , Thank you for your contribution.

    We feel Most Likely Diagnosis is Paroxysmal Supraventricular Tachycardia (PSVT, Most commonly AVNRT).

    Confirmatory Test:

    1: Holter Monitoring
    2: Event Recorder
    3: ECG during episode

    ✅ Acute Management:

    1: Vagal maneuvers
    2: IV Adenosine (if needed)
    3: IV Verapamil (alternative)

    Definitive Management:

    1: Radiofrequency Ablation (Curative)

  • Rakshith M
    Rakshith M February 9, 2026
    Resident – Internal Medicine
    ✔ Verified Doctor

    I agree! Will give further updates accordingly.

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