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Is this atrial fibrillation?

Jadidi, Amir S.
Gentil-Baron, Pascale
Published in Annals of noninvasive electrocardiology. 2009, vol. 14, no. 1, p. 96-98
Abstract 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.
Keywords ArtifactsAtrial Fibrillation/*diagnosis/surgeryCatheter AblationDiagnosis, Differential*ElectrocardiographyFemaleHumansSensitivity and SpecificityTachycardia, Atrioventricular Nodal Reentry/*diagnosis/surgeryYoung Adult
PMID: 19149800
Full text
Research group Electrophysiologie cardiaque (666)
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JADIDI, Amir S. et al. Is this atrial fibrillation?. In: Annals of noninvasive electrocardiology, 2009, vol. 14, n° 1, p. 96-98. doi: 10.1111/j.1542-474X.2008.00266.x https://archive-ouverte.unige.ch/unige:19875

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Deposited on : 2012-04-23

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