Ectopic Paroxysmal Atrial Tachycardia Cardiovascular Division, Departments of InternalNational Taiwan University Hospital,...
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...
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)   LV...
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
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Ectopic Paroxysmal Atrial Tachycardia

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Ectopic Paroxysmal Atrial Tachycardia

  1. 1. Ectopic Paroxysmal Atrial Tachycardia Cardiovascular Division, Departments of InternalNational Taiwan University Hospital, Taipei, Taiwan CASE PRESENTATION Fellow 廖敏村 / VS 游治節
  2. 2. A 45-year-old femalepresented with progressivepalpitation in recent one year
  3. 3. 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
  4. 4. ECG Multiple APCs
  5. 5. Holter Atrial bigeminy
  6. 6. Holter Atrial run
  7. 7. Holter Atrial run with group
  8. 8. Holter Long-pause 3.6 sec
  9. 9. 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
  10. 10. UCG
  11. 11. CXR
  12. 12. EPS tracing (2011/11)
  13. 13. EPS tracing (2011/11)
  14. 14. CARTO mapping RAO LAO
  15. 15. RFCA Anterior lateral site of RA ( above the roof of appendage)
  16. 16. Repeat Holter 2 months later
  17. 17. Thank you for your attention

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