en
Scientific article
Case report
English

Is this atrial fibrillation?

Published inAnnals of noninvasive electrocardiology, vol. 14, no. 1, p. 96-98
Publication date2009
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
  • Artifacts
  • Atrial Fibrillation/*diagnosis/surgery
  • Catheter Ablation
  • Diagnosis, Differential
  • *Electrocardiography
  • Female
  • Humans
  • Sensitivity and Specificity
  • Tachycardia, Atrioventricular Nodal Reentry/*diagnosis/surgery
  • Young Adult
Citation (ISO format)
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
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ISSN of the journal1082-720X
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