M-mode Diagnosis of Tachyarrhythmia Can be Erroneous Owing to 'Pseudo 1:1 Atrioventricular Movement' of the Atrial Wall Adjacent to the Atrioventricular Valve Possibly due to Atrioventricular Constraint: A Case of Neonatal Atrial Flutter With 2:1 Atrioventricular Conduction
Autor: | Akio Ishiguro, Ayumi Oshima, Hideaki Senzaki, Mio Taketazu, Satoshi Masutani, Akiko Kawano, Hirotaka Ishido, Yoichi Iwamoto |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty congenital hereditary and neonatal diseases and abnormalities Fetal Tachyarrhythmia Case Report arrhythmia Internal medicine medicine cardiovascular diseases diagnostic imaging tools Atrioventricular valve medicine.diagnostic_test Fetal echocardiography business.industry Atrioventricular conduction Ventricular wall Atrial wall medicine.disease myocardial wall motion medicine.anatomical_structure lcsh:RC666-701 Ventricle Cardiology cardiovascular system Cardiology and Cardiovascular Medicine business Atrial flutter |
Zdroj: | Clinical Medicine Insights. Cardiology Clinical Medicine Insights: Cardiology, Vol 12 (2018) |
ISSN: | 1179-5468 |
Popis: | M-mode echocardiography has been playing an important role in the diagnosis of fetal tachyarrhythmia. We recently encountered a neonatal case of atrial flutter with 2:1 atrioventricular conduction. However, M-mode erroneously indicated 1:1 atrioventricular movement. While the movement of the atrial wall far from the atrioventricular valve was much faster than that of the ventricular wall, the atrial wall adjacent to the atrioventricular valve fully synchronized to that of the ventricular wall. Thus, to avoid this novel pitfall, it would be important to add an additional assessment focusing on the movement of the atrial wall far from the ventricle. |
Databáze: | OpenAIRE |
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