Inappropriate sinus tachycardia or…something else?
Abstract 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 ca...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-12-01
|
| Series: | Journal of Arrhythmia |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/joa3.12250 |
| _version_ | 1818676631007395840 |
|---|---|
| author | Lucian Muresan Ronan Le Bouar Stephane Greciano Crina Muresan Serban Schiau Gabriel Cismaru Jacques Levy |
| author_facet | Lucian Muresan Ronan Le Bouar Stephane Greciano Crina Muresan Serban Schiau Gabriel Cismaru Jacques Levy |
| author_sort | Lucian Muresan |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-17T08:46:32Z |
| format | Article |
| id | doaj.art-c03dec1f0ad84aa682b1de8be6640b73 |
| institution | Directory Open Access Journal |
| issn | 1880-4276 1883-2148 |
| language | English |
| last_indexed | 2024-12-17T08:46:32Z |
| publishDate | 2019-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Arrhythmia |
| spelling | doaj.art-c03dec1f0ad84aa682b1de8be6640b732022-12-21T21:56:12ZengWileyJournal of Arrhythmia1880-42761883-21482019-12-0135685185410.1002/joa3.12250Inappropriate sinus tachycardia or…something else?Lucian Muresan0Ronan Le Bouar1Stephane Greciano2Crina Muresan3Serban Schiau4Gabriel Cismaru5Jacques Levy6Cardiology Department Emile Muller” Hospital Mulhouse FranceCardiology Department Emile Muller” Hospital Mulhouse FranceCardiology Department Rehabilitation Hospital Cluj‐Napoca RomaniaCardiology Department Emile Muller” Hospital Mulhouse FranceCardiology Department Emile Muller” Hospital Mulhouse FranceCardiology Department Louis Pasteur Hospital Colmar FranceCardiology Department Emile Muller” Hospital Mulhouse FranceAbstract 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.https://doi.org/10.1002/joa3.12250focal atrial tachycardiaright atrial appendage |
| spellingShingle | Lucian Muresan Ronan Le Bouar Stephane Greciano Crina Muresan Serban Schiau Gabriel Cismaru Jacques Levy Inappropriate sinus tachycardia or…something else? Journal of Arrhythmia focal atrial tachycardia right atrial appendage |
| 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 | focal atrial tachycardia right atrial appendage |
| url | https://doi.org/10.1002/joa3.12250 |
| work_keys_str_mv | AT lucianmuresan inappropriatesinustachycardiaorsomethingelse AT ronanlebouar inappropriatesinustachycardiaorsomethingelse AT stephanegreciano inappropriatesinustachycardiaorsomethingelse AT crinamuresan inappropriatesinustachycardiaorsomethingelse AT serbanschiau inappropriatesinustachycardiaorsomethingelse AT gabrielcismaru inappropriatesinustachycardiaorsomethingelse AT jacqueslevy inappropriatesinustachycardiaorsomethingelse |