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dc.contributor.authorNam, MCY
dc.contributor.authorBest, L
dc.contributor.authorGreaves, K
dc.contributor.authorDayananda, N
dc.date.accessioned2019-10-15T23:39:19Z
dc.date.available2019-10-15T23:39:19Z
dc.date.issued2016
dc.identifier.issn1757-790X
dc.identifier.doi10.1136/bcr-2015-214048
dc.identifier.urihttp://hdl.handle.net/10072/388410
dc.description.abstractAn 82-year-old man with previous bioprosthetic aortic valve replacement for aortic stenosis had a routine ECG (figure 1). This was thought to represent an atrial tachycardia with cycle length 280 ms and 3:1 atrioventricular response. A diagnosis of atrial flutter was made based on tachycardia cycle length, p-wave morphology and previous cardiac surgery. He had a mild left-sided tremor in keeping with known Parkinson's disease. The patient was anticoagulated and admitted electively for an electrophysiology (EP) study. In the EP laboratory, the patient had a 12-lead ECG (figure 2A) showing sinus rhythm with a ventricular rate of 60 bpm. Figure 2B shows the EP electrogram recorded in the coronary sinus confirming sinus rhythm. However, it was noted that the ‘flutter waves’ in the original ECG were most marked in the left limb leads. In the EP laboratory, ECG labels are placed on the torso, as opposed to the limbs. After moving ECG labels to the forearms, the surface ECG is shown (figure 3) with re-emergence of ‘flutter’ waves. A diagnosis of pseudo-atrial flutter was made.
dc.languageEnglish
dc.language.isoeng
dc.publisherBMJ Publishing Group Ltd
dc.publisher.placeUnited Kingdom
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto3
dc.relation.ispartofjournalBMJ Case Reports
dc.relation.ispartofvolume2016
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchcode1103
dc.titleGlobal pseudo-atrial flutter ECG appearance secondary to unilateral parkinsonian tremor
dc.typeJournal article
dc.type.descriptionC2 - Articles (Other)
dcterms.bibliographicCitationNam, MCY; Best, L; Greaves, K; Dayananda, N, Global pseudo-atrial flutter ECG appearance secondary to unilateral parkinsonian tremor, BMJ Case Reports, 2016, 2016, pp. 1-3
dc.date.updated2019-10-15T05:32:31Z
gro.hasfulltextNo Full Text
gro.griffith.authorGreaves, Kim


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