[Simulated tachyarrhythmia. A case report]

In this case report, the hospitalization of a 34-year-old woman with a history of heart disease is described. Arrhythmias and precordial chest pain led to her admission to the coronary care unit. Different therapeutic trials failed. Finally it became obvious that all tachycardias documented by the arrhythmia monitoring system were artifacts, produced by manipulation at the ECG electrodes. After disclosure and confrontation, a psychic misdevelopment in combination with an abuse of analgetics was found.