Congenital Heart Disease

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    36 year old male with history of palpitations.

    36 year old male with history of palpitations.

    Key Findings

    - Ectopic atrial rhythm

    - Wolff-Parkinson-White pattern

    Coding for the Boards

    - Sinus rhythm

    - Wolf-Parkinson-White pattern

    Answers

    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.