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A 26-year-old Royal Air Force serviceman with palpitations

Sabiha Gati, Sports Cardiology Quiz Section Editor

Impact of atrial fibrillation on Royal Air Force duties

Rehabilitation and Sports Cardiology

The case

A 26-year-old Royal Air Force serviceman experienced an episode of rapid irregular palpitations and dizziness following the consumption of a large volume of an energy drink with vodka. He presented to the emergency department, at which point his symptoms settled. He had no significant past medical history or family history of note.

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Note: The views and opinions expressed on this page are those of the author and may not be accepted by others. While every attempt is made to keep the information up to date, there is always going to be a lag in updating information. The reader is encouraged to read this in conjunction with appropriate ESC Guidelines. The material on this page is for educational purposes and is not for use as a definitive management strategy in the care of patients. Quiz material on the site are only examples and do not guarantee outcomes from formal examinations.


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    Boos CJ, Jamil Y, Park M, et al. Electrocardiographic abnormalities in medically screened military aircrew. Aviat Space Environ Med 2012;83:1055–9
  2. Hunter AH, Timperley AC, Reid AN, et al. A 5-year review of atrial fibrillation in military aircrew. Aviat Space Environ Med 2013;84:1249–54
  3. Nicol ED, Rienks R, Gray G, et al. An introduction to aviation cardiology. Heart 2019;105:s3-s8
  4. Voskoboinik A, Prabhu S, Ling L, Kalman JM, Kistler PM. Alcohol and Atrial Fibrillation: A Sobering Review, Journal of the American College of Cardiology, 68(23);2016, 2567-2576

Notes to editor

Authors information:

Dr. Michael Pope, research fellow in cardiac electrophysiology at the John Radcliffe Hospital in Oxford, UK
Dr. Andrew Cox, cardiologist in the British Army, UK and at Frimley Health NHS Foundation Trust and the Royal Brompton and Harefield NHS Foundation Trust, UK
Dr. Joanna d’Arcy, cardiologist in the Royal Air Force, UK and at the John Radcliffe Hospital in Oxford, UK
Dr. Kim Rajappan, cardiologist and electrophysiologist at the John Radcliffe Hospital in Oxford, UK