Images in Clinical Medicine

Tremor as a Cause of Pseudo–Ventricular Tachycardia

Rafael Llinas, M.D., and Galen V. Henderson, M.D.

N Engl J Med 1999; 341:1275October 21, 1999

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Figure 1 An 84-year-old woman with a history of falling was found on the ground unable to get up. On admission to the hospital for evaluation of syncope, she had a normal pulse and blood pressure. Examination revealed a masklike face, bradykinesia, gait instability, and a pill-rolling tremor. An electrocardiogram showed the 4-to-6-Hz tremor associated with Parkinson's disease. The QRS complexes are indicated by the arrows. Postural instability associated with Parkinson's disease was the most likely cause of the patient's falls.

Rafael Llinas, M.D.
Beth Israel Deaconess Medical Center, Boston, MA 02215

Galen V. Henderson, M.D.
Brigham and Women's Hospital, Boston, MA 02115

Citing Articles (8)

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