Atrial flutter presenting as broad complex tachycardia in a patient with right sided pneumonectomy

Atrial flutter presenting as broad complex tachycardia in a patient with right sided pneumonectomy

A 71-year-old man with no history of coronary artery disease presented with palpitations to the emergency department. The 12-lead ECG showed a regular tachycardia with wide QRS complexes (220 bpm) suggestive of ventricular tachycardia. Instead invasive electrophysiological investigation revealed typ...

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Bibliographic Details
Main Authors: Thomas Beiert, MD, Georg Nickenig, MD, Jan Wilko Schrickel, MD, Markus Linhart, MD
Format: Article
Language:English
Published: Elsevier 2017-07-01
Series:Indian Pacing and Electrophysiology Journal
Subjects:
Broad complex tachycardia
Ventricular tachycardia
Supraventricular tachycardia
Atrial flutter
Online Access:http://www.sciencedirect.com/science/article/pii/S0972629216314061
Description
Summary:A 71-year-old man with no history of coronary artery disease presented with palpitations to the emergency department. The 12-lead ECG showed a regular tachycardia with wide QRS complexes (220 bpm) suggestive of ventricular tachycardia. Instead invasive electrophysiological investigation revealed typical atrial flutter as underlying arrhythmia. The altered QRS morphology resulted from displacement of the heart into the right hemithorax due to right-sided pneumonectomy in combination with bundle branch block.
ISSN:0972-6292

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