Atrial flutter with atypical presentation
نویسندگان
چکیده
Fifty-five year old lady presented with complaints of recurrent palpitations for last 5 years. She had already undergone 3 previous attempts at ablation at another institution; the details of the procedures were not available. Previous cardiac disease or cardiac surgery was absent. Presenting ECG was consistent with counterclock wise (CCW) atrial flutter (Negative flutter waves in II, III, aVF and positive flutter wave in V1) (Fig. 1A) [1]. Echo showed mild enlargement of the right atrium (RA) and normal pressure Tricuspid Insufficiency.
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