Atypical atrioventricular nodal re-entry tachycardia misdiagnosed as ventricular tachycardia: Implantable defibrillator overuse in an athlete
Bibliographic record
Abstract
A 25-year-old male presented to his local district general hospital with palpitations, light-headedness, and syncope, often while playing soccer. He had no past medical or surgical history, was not taking any regular medications, and reported no illicit drug use. There was no family history of cardiomyopathy or sudden death. He was an amateur athlete, playing soccer for approximately 12 hours per week and performing aerobic exercise in the gym. The baseline 12-lead ECG was normal (figure 1A). An implantable cardiac monitor (ICM) was inserted, and within one month, multiple episodes of monomorphic wide complex tachycardia (WCT) >250bpm were detected, associated with presyncope (figure 1B).
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".