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Open Access 16-01-2024 | Atrial Fibrillation | Rhythm Puzzle

Does it take two to tango?

Authors: Daniel Mol, Erik A. Stel, Irene E. Hof

Published in: Netherlands Heart Journal | Issue 3/2024

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Excerpt

A 35-year-old athlete patient without any relevant medical history was referred to our electrophysiology laboratory because of exercise-induced palpitations. Due to the disabling complaints, the patient had to stop his marathon training. Cardiac echocardiography revealed a 47% ejection fraction and a left atrial volume index of 45 ml/m2. A previous exercise test showed an irregular heart rhythm which was suggestive of atrial ectopic beats and atrial fibrillation. We performed an electrophysiological study to induce and localise the atrial ectopic beats that may be the trigger for atrial fibrillation. The patient received general anaesthesia. During the isoprenaline washout phase, ‘irregularities’ became prominent, and the tracing displayed in Fig. 1 was recorded.
Metadata
Title
Does it take two to tango?
Authors
Daniel Mol
Erik A. Stel
Irene E. Hof
Publication date
16-01-2024
Publisher
Bohn Stafleu van Loghum
Published in
Netherlands Heart Journal / Issue 3/2024
Print ISSN: 1568-5888
Electronic ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-023-01845-5

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