Electrocardiographic findings including irregularity of the rhythm, a very rapid ventricular response, and the presence of a delta wave should raise the suspicion of pre-excited atrial fibrillation with a rapid ventricular response. Urgent cardioversion is needed due to the risk of sudden cardiac death.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9280745PMC
http://dx.doi.org/10.1002/ccr3.6035DOI Listing

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