A Man with Unexplained Cause of Rapid Regular Wide QRS Complex Tachycardia: An Unusual Case Report of Atrial Flutter.

Autor: Methavigul, Komsing, Methavigul, Ratikorn
Předmět:
Zdroj: Journal of the Medical Association of Thailand; Apr2021, Vol. 104 Issue 4, p1-3, 3p
Abstrakt: Objective: To report an unusual case of atrial flutter with 1:1 atrioventricular (AV) conduction with unclear precipitating factors. Case Report: A 67-year-old Thai male patient presented with diarrhea and palpitation. The electrocardiogram showed a rapid regular wide QRS complex tachycardia (WCT). The tachycardia was spontaneously slow down during saline infusion. The atrial flutter with 2:1 AV conduction was demonstrated. The diagnosis of regular WCT was atrial flutter with 1:1 AV conduction. The precipitating cause could not be identified. The catheter ablation was successfully performed under EnSite Precision Cardiac Mapping System. The atrial flutter was suddenly terminated during catheter ablation along cavotricuspid isthmus. The patient remained sinus rhythm after eight months. Conclusion: The present case was an unusual case of atrial flutter with 1:1 AV conduction with unclear precipitating factors. Although some possible causes were demonstrated, clear precipitating causes in the present patient should be investigated in the future. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index