PT - JOURNAL ARTICLE AU - Pishoy Gouda AU - George Veenhuyzen AU - Bryan Har TI - Fifty-year-old woman with lightheadedness AID - 10.1136/heartjnl-2017-311201 DP - 2017 Aug 01 TA - Heart PG - 1224--1224 VI - 103 IP - 15 4099 - http://heart.bmj.com/content/103/15/1224.short 4100 - http://heart.bmj.com/content/103/15/1224.full SO - Heart2017 Aug 01; 103 AB - Clinical introduction A 50-year-old woman presented to the emergency department with a 3-year history of worsening episodes of lightheadedness, anxiety and diaphoresis. She was otherwise healthy. Her cardiovascular physical examination was normal apart from an irregularly irregular pulse of 105 beats per minute. When she arrived in the emergency department, a 12-lead ECG was obtained (figure 1).Figure 1 Patient’s ECG.Question What is the most likely diagnosis?Atrial fibrillation (AF)Atrial premature beatsAtrioventricular (AV) reciprocating tachycardiaDual AV nodal non-reentrant tachycardia (DAVNNT)AV nodal re-entrant tachycardiaQuestion