Document Detail


A peculiar form of focal atrial tachycardia mimicking atypical atrial flutter.
MedLine Citation:
PMID:  11110436     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 55-year-old man was referred because of congestive heart failure and atrial flutter. A 12-lead electrocardiogram (ECG) showed positive P waves in leads II, III, and aVF with a continuously undulating pattern that lacked an isoelectric baseline. Tachycardia was diagnosed as atypical atrial flutter based on classical criteria. An electrophysiological study and catheter ablation using an electroanatomical system revealed the mechanism of the tachycardia to be focal atrial tachycardia originating from the left atrial roof. This case indicates that focal atrial tachycardia may present as atypical atrial flutter on the surface ECG.
Authors:
M Goya; A Takahashi; N Nuruki; Y Takahashi; M Goto; K Tanaka; H Amemiya; H Fujiwara; Y Iesaka
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Japanese circulation journal     Volume:  64     ISSN:  0047-1828     ISO Abbreviation:  Jpn. Circ. J.     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2001-02-16     Completed Date:  2001-03-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7806868     Medline TA:  Jpn Circ J     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  886-9     Citation Subset:  IM    
Affiliation:
Cardiology Division, Cardiovascular Center, Tsuchiura Kyodo Hospital, Ibaraki, Japan.
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MeSH Terms
Descriptor/Qualifier:
Atrial Flutter / diagnosis*
Catheter Ablation
Diagnosis, Differential
Electrocardiography*
Humans
Male
Middle Aged
Tachycardia, Ectopic Atrial / diagnosis*,  physiopathology,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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