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What kind of heart rhythm is this?
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Abstract
A 81-year-old man with severe aortic stenosis (qualified for transcatheter aortic valve implantation), mitral insufficiency, chronic heart failure (New York Heart Association [NYHA] II), paroxysmal atrial fibrillation, diabetes mellitus type 2, hypertension, abdominal aortic aneurysm was admitted to the Clinic because of heart failure exacerbation (NYHA III/IV). In the past patient was hospitalized twice — rhythm in electrocardiogram (ECG) was described as sinus tachycardia. During next hospitalization on ECG there was atrial tachycardia with 2:1 block and regular ventricular rate 100/min. This case report demonstrates difficulty in distinguishing sinus tachycardia and atrial tachycardia.
Abstract
A 81-year-old man with severe aortic stenosis (qualified for transcatheter aortic valve implantation), mitral insufficiency, chronic heart failure (New York Heart Association [NYHA] II), paroxysmal atrial fibrillation, diabetes mellitus type 2, hypertension, abdominal aortic aneurysm was admitted to the Clinic because of heart failure exacerbation (NYHA III/IV). In the past patient was hospitalized twice — rhythm in electrocardiogram (ECG) was described as sinus tachycardia. During next hospitalization on ECG there was atrial tachycardia with 2:1 block and regular ventricular rate 100/min. This case report demonstrates difficulty in distinguishing sinus tachycardia and atrial tachycardia.
Keywords
focal atrial tachycardia, sinus tachycardia, heart failure, aortic stenosis
About this articleTitle
What kind of heart rhythm is this?
Journal
Issue
Article type
Case report
Pages
31-34
Published online
2016-07-22
DOI
10.5603/FC.2015.0096
Keywords
focal atrial tachycardia
sinus tachycardia
heart failure
aortic stenosis
Authors
Katarzyna Kolaszyńska
Agata Galas
Jarosław Kowal
Robert Wierzbowski