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  • Amiodarone induced interatrial electrical dissociation mimics restored sinus rhythm in patient with persistent left atrial flutter

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Images in cardiology
Amiodarone induced interatrial electrical dissociation mimics restored sinus rhythm in patient with persistent left atrial flutter
  1. Marian Christoph,
  2. Michael Guenther,
  3. Carsten Wunderlich
  1. Department of Internal Medicine and Cardiology, Heart Centre, University Hospital Dresden, Germany
  1. Correspondence to Dr Marian Christoph, Department of Internal Medicine and Cardiology, Heart Centre, University Hospital Dresden, Fetscherstrasse 76, 01307 Dresden, Germany; marian.christoph{at}mailbox.tu-dresden.de

https://doi.org/10.1136/heartjnl-2012-301694

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    A 74-year old man with persistent left atrial flutter underwent pharmacological cardioversion with amiodarone. The control 12-lead ECG showed an apparently restored sinus rhythm. Subsequently, in our electrophysiology (EP) laboratory pulmonary vein isolation was performed. At the beginning of EP study after positioning of the diagnostic catheter into the …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.