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Limitations of Wide Complex Tachycardia Algorithms in a Patient with Ischemic Cardiomyopathy

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Cardiac Electrophysiology

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Abstract

A 58-year-old male with history of ischemic cardiomyopathy presented with wide complex tachycardia with a prominent R wave in lead AVR and reportedly no response to adenosine. He was taken to the electrophysiology lab with high suspicion for ventricular tachycardia. Electroanatomic mapping demonstrated the arrhythmia to be a roof-dependent left atrial flutter, which was successfully terminated with radiofrequency ablation.

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References

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Disclosures

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Author information

Authors and Affiliations

  1. UCLA Cardiac Arrhythmia Center, Los Angeles, CA, USA

    Justin Hayase

  2. Ronald Reagan UCLA Medical Center, UCLA Health System, UCLA Cardiac Arrhythmia Center, Los Angeles, CA, USA

    Kalyanam Shivkumar

  3. Ronald Reagan UCLA Medical Center, Los Angeles, CA, USA

    Jason S. Bradfield

Authors
  1. Justin Hayase
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  2. Kalyanam Shivkumar
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  3. Jason S. Bradfield
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Corresponding author

Correspondence to Jason S. Bradfield .

Editor information

Editors and Affiliations

  1. N. IH 35 3000, St. David’s Medical Center, Austin, TX, USA

    Andrea Natale

  2. Department of Cardiovascular Medicine, Stanford University, Stanford, CA, USA

    Paul J. Wang

  3. Texas Cardiac Arrhythmia, Austin, TX, USA

    Amin Al-Ahmad

  4. University of Pittsburgh, Pittsburgh, PA, USA

    N. A. Mark Estes

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Hayase, J., Shivkumar, K., Bradfield, J.S. (2020). Limitations of Wide Complex Tachycardia Algorithms in a Patient with Ischemic Cardiomyopathy. In: Natale, A., Wang, P., Al-Ahmad, A., Estes, N. (eds) Cardiac Electrophysiology. Springer, Cham. https://doi.org/10.1007/978-3-030-28533-3_8

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  • DOI: https://doi.org/10.1007/978-3-030-28533-3_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-28531-9

  • Online ISBN: 978-3-030-28533-3

  • eBook Packages: MedicineMedicine (R0)

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