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Ectopic Paroxysmal Atrial Tachycardia
 

Ectopic Paroxysmal Atrial Tachycardia

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    Ectopic Paroxysmal Atrial Tachycardia  Ectopic Paroxysmal Atrial Tachycardia Presentation Transcript

    • Ectopic Paroxysmal Atrial Tachycardia Cardiovascular Division, Departments of InternalNational Taiwan University Hospital, Taipei, Taiwan CASE PRESENTATION Fellow 廖敏村 / VS 游治節
    • A 45-year-old femalepresented with progressivepalpitation in recent one year
    • Brief history 2010/10 OPD for palpitation  Holter:total 3738 SVEs (3.5%), atrial pairs: 881  No medical control  Free T4 0.999 ng/dL 2011/10 ER for palpitation  ECG: multiple APCs  Holter  Total32282 SVEs (30.1%)  424 atrial runs, longest 7 beats, fastest 136bpm  5393 atrial pairs
    • ECG Multiple APCs
    • Holter Atrial bigeminy
    • Holter Atrial run
    • Holter Atrial run with group
    • Holter Long-pause 3.6 sec
    • UCG report 2011/10/13 Ao 24 mm (20-37) IVS 7 mm (7-10) AV 16 mm (16-26) LVPW 8 mm (8-13) LA 36 mm (19-40) LVEDD 43 mm (35-53) RV 16 mm (5-21) LVESD 26 mm (20-35) LVEF: 70.6%(M-mode) Mitral valve prolapse, anterior leaflet Mild MR Mild to moderate TR
    • UCG
    • CXR
    • EPS tracing (2011/11)
    • EPS tracing (2011/11)
    • CARTO mapping RAO LAO
    • RFCA Anterior lateral site of RA ( above the roof of appendage)
    • Repeat Holter 2 months later
    • Thank you for your attention