Autor: |
Bogdan G, Muntean, Mattias, Roser, Saba, Suhail, Patrick, Nagel, Barbara, Bellmann |
Jazyk: |
němčina |
Rok vydání: |
2015 |
Předmět: |
|
Zdroj: |
HerzschrittmachertherapieElektrophysiologie. 26(4) |
ISSN: |
1435-1544 |
Popis: |
This article reports the case of a 76-year-old patient with multiple implantable cardioverter defibrillator (ICD) interventions of the single chamber ICD. On admission the 12-lead electrocardiogram (ECG) documented a wide QRS complex tachycardia without clearly identifiable P waves. The patient had previously had two ventricular tachycardia (VT) ablations due to VT storms. The resting ECG revealed a sinus rhythm with a wide QRS complex. During the electrophysiological investigation typical atrial flutter could be detected and an ablation of the cavotricuspid isthmus was performed. During the follow-up period, the patient has been free from tachycardia.The case described emphasizes that a differentiation between supraventricular tachycardia (SVT) and VT based on a stored ECG without an atrial channel can be challenging. |
Databáze: |
OpenAIRE |
Externí odkaz: |
|