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A 38-Year-Old Man With Obesity, Intermittent Tachycardia, and One Episode of SyncopeImplantable Loop Recorder Tales

Karolina K. Marinescu, MD; Mazhar Khan, MD; James A. Rowley, MD, FCCP; Teferi Y. Mitiku, MD
Author and Funding Information

From the Division of Cardiovascular Medicine (Drs Marinescu, Khan, and Mitiku) and Division of Pulmonary, Critical Care & Sleep Medicine (Dr Rowley), School of Medicine, Wayne State University, Detroit, MI.

CORRESPONDENCE TO: Karolina K. Marinescu, MD, School of Medicine, Wayne State University, Harper University Hospital, 8 Brush, Detroit, MI 48201; e-mail: Kmirowsk@med.wayne.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;148(1):e22-e25. doi:10.1378/chest.14-1812
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A 38-year-old man with history of diabetes, hypertension, hyperlipidemia, and obesity was referred to the electrophysiology clinic for evaluation of infrequent palpitations and remote history of syncope. The patient described a sensation of racing of the heart, which lasted about 30 min to 1 h and occurred several times over the past year. This was associated with a sense of anxiety and shortness of breath and appeared to resolve spontaneously. The patient also experienced one episode of syncope in the past while enjoying a barbecue on a hot summer day. He did not recall if this episode was accompanied by palpitations, however, the previously mentioned symptoms prompted the consultation. Upon further questioning the patient also reported experiencing fatigue. He stated that he noted decreased energy and frequent daytime sleepiness.

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