Case
We present a 31-year-old professional golfer with no significant cardiac medical history, who presented to Aberdeen Royal Infirmary in the Summer of 2015. He described palpitations after drinking alcohol the night before. After further investigation he was found to be in atrial fibrillation (AF) with fast ventricular rate (figure 1), and underwent medical cardioversion with bisoprolol and flecainide. His blood results were normal and he was discharged with an outpatient echocardiogram follow-up.
Figure 1. 12-lead electrocardiogram (ECG) showing atrial fibrillation, T-wave inversion II, III, aVf, V5, V6
Transthoracic echocardiogram in Aug