Is this atrial fibrillation?
- Jadidi AS University Hospital of Geneva, Geneva, Switzerland. Amir.S.Jadidi@hcuge.ch
- Sunthorn H
- Burri H
- Gentil-Baron P
- Shah D
- 2009-01-20
Published in:
- Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc. - 2009
Artifacts
Atrial Fibrillation
Catheter Ablation
Diagnosis, Differential
Electrocardiography
Female
Humans
Sensitivity and Specificity
Tachycardia, Atrioventricular Nodal Reentry
Young Adult
English
A 19-year-old girl was referred to our cardiology department for catheter ablation (isolation of the pulmonary veins) of paroxysmal atrial fibrillation (AF). The diagnosis was made upon a 12-lead ECG of the arrhythmia documented in the emergency room. The ECG showed an irregular tachycardia without wide QRS complexes. Careful assessment revealed the irregularity of the rhythm was a sweep artifact due to a mechanic failure of the ECG-machine to advance the article smoothly. During EP study a concealed anteroseptal accessory pathway causing an orthodromic AV reentrant tachycardia was eliminated by radio-frequency ablation. This example emphasizes the need for careful assessment of an ECG tracing, including printed legends and technical data.
- Language
-
- English
- Open access status
- green
- Identifiers
-
- DOI 10.1111/j.1542-474X.2008.00266.x
- PMID 19149800
- Persistent URL
- https://sonar.ch/global/documents/216365
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