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A Man With Incessant Narrow Complex Tachycardia

20:00 EDT 24 Oct 2019 | JAMA

A 30-year-old man with palpitations and heart rate 241/min had a temperature of 38.2°C, an erythematous oropharynx, tonsillar exudates, and a positive rapid strep test result; an ECG showed narrow complex tachycardia with an incomplete right bundle-branch block–like morphology, a right inferior axis, and atrioventricular dissociation. What is the diagnosis and what would you do next?

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