Congenital Heart Disease
36 year old male with history of palpitations.
- Ectopic atrial rhythm
- Wolff-Parkinson-White pattern
- Sinus rhythm
- Wolf-Parkinson-White pattern
Discussion: Ectopic atrial rhythm is not an option on the current ABIM coding sheet. The key finding is that of pronounced preexcitation utilizing a posteroseptal pathway. ST changes, axis and hypertrophy should not be coded with this degree of preexcitation.