Inappropriate sinus tachycardia or…something else?

We report the case of a 45‐year old female patient with a past medical history of rheumatoid arthritis who presented to our cardiology department with a suspicion of inappropriate sinus tachycardia. Echocardiography showed a nondilated left ventricle with a preserved ejection fraction. A careful rei...

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Detalles Bibliográficos
Autores principales: Muresan, Lucian, Le Bouar, Ronan, Greciano, Stephane, Muresan, Crina, Schiau, Serban, Cismaru, Gabriel, Levy, Jacques
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6898534/
https://www.ncbi.nlm.nih.gov/pubmed/31844478
http://dx.doi.org/10.1002/joa3.12250
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author Muresan, Lucian
Le Bouar, Ronan
Greciano, Stephane
Muresan, Crina
Schiau, Serban
Cismaru, Gabriel
Levy, Jacques
author_facet Muresan, Lucian
Le Bouar, Ronan
Greciano, Stephane
Muresan, Crina
Schiau, Serban
Cismaru, Gabriel
Levy, Jacques
author_sort Muresan, Lucian
collection PubMed
description We report the case of a 45‐year old female patient with a past medical history of rheumatoid arthritis who presented to our cardiology department with a suspicion of inappropriate sinus tachycardia. Echocardiography showed a nondilated left ventricle with a preserved ejection fraction. A careful reinterpretation of her 12‐lead ECG reoriented the diagnosis toward an incessant atrial tachycardia. The diagnosis was confirmed by an electrophysiologic study performed with an electro‐anatomic mapping system, which identified the origin of the tachycardia at the level of the right atrial appendage. Radiofrequency ablation of the ectopic focus eliminated the tachycardia and improved the patient's symptoms.
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spelling pubmed-68985342019-12-16 Inappropriate sinus tachycardia or…something else? Muresan, Lucian Le Bouar, Ronan Greciano, Stephane Muresan, Crina Schiau, Serban Cismaru, Gabriel Levy, Jacques J Arrhythm Case Reports We report the case of a 45‐year old female patient with a past medical history of rheumatoid arthritis who presented to our cardiology department with a suspicion of inappropriate sinus tachycardia. Echocardiography showed a nondilated left ventricle with a preserved ejection fraction. A careful reinterpretation of her 12‐lead ECG reoriented the diagnosis toward an incessant atrial tachycardia. The diagnosis was confirmed by an electrophysiologic study performed with an electro‐anatomic mapping system, which identified the origin of the tachycardia at the level of the right atrial appendage. Radiofrequency ablation of the ectopic focus eliminated the tachycardia and improved the patient's symptoms. John Wiley and Sons Inc. 2019-10-17 /pmc/articles/PMC6898534/ /pubmed/31844478 http://dx.doi.org/10.1002/joa3.12250 Text en © 2019 The Authors. Journal of Arrhythmia published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Heart Rhythm Society. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Muresan, Lucian
Le Bouar, Ronan
Greciano, Stephane
Muresan, Crina
Schiau, Serban
Cismaru, Gabriel
Levy, Jacques
Inappropriate sinus tachycardia or…something else?
title Inappropriate sinus tachycardia or…something else?
title_full Inappropriate sinus tachycardia or…something else?
title_fullStr Inappropriate sinus tachycardia or…something else?
title_full_unstemmed Inappropriate sinus tachycardia or…something else?
title_short Inappropriate sinus tachycardia or…something else?
title_sort inappropriate sinus tachycardia or…something else?
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6898534/
https://www.ncbi.nlm.nih.gov/pubmed/31844478
http://dx.doi.org/10.1002/joa3.12250
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