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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Detalles Bibliográficos
Autores principales: Beiert, Thomas, Nickenig, Georg, Schrickel, Jan Wilko, Linhart, Markus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5527821/
https://www.ncbi.nlm.nih.gov/pubmed/29067909
http://dx.doi.org/10.1016/j.ipej.2017.05.002
Descripción
Sumario: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.

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