This patient loves the sound of his own voice

His ECG speaks volumes
ECG
The New England Journal of Medicine ©2021.

No, he didn't bore ED staff with pompous prattle. But this patient did love to hear himself speak.

On uttering a single word, he got atrial premature beats (panel A), according to his ECG, while full sentences set his heart racing (panel B), with sustained atrial tachycardia of up to 167bpm.

The 58-year-old man had been experiencing this talk-induced tachycardia for a month, with intermittent dizziness and palpitations whenever he spoke.

Experimentation on ECG monitoring revealed that the arrhythmias were only triggered by spoken syllables and not breath

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