Electrophysiology study without intracardiac catheters. The value of proper Holter interpretation: a case report

Andres Enriquez; Alex Bittner; Mohammed Almehairi; Adrian Baranchuk

doi:10.1016/j.jelectrocard.2013.12.003

Electrophysiology study without intracardiac catheters. The value of proper Holter interpretation: a case report

J Electrocardiol. 2014 May-Jun;47(3):329-32. doi: 10.1016/j.jelectrocard.2013.12.003. Epub 2013 Dec 7.

Authors

Andres Enriquez¹, Alex Bittner², Mohammed Almehairi¹, Adrian Baranchuk³

Affiliations

¹ Division of Cardiology, Queen's University, Kingston, Ontario, Canada.
² Arrhythmia Service, Pontificia Universidad Catolica de Chile, Santiago, Chile.
³ Division of Cardiology, Queen's University, Kingston, Ontario, Canada. Electronic address: barancha@kgh.kari.net.

PMID: 24406206
DOI: 10.1016/j.jelectrocard.2013.12.003

Abstract

This case report presents the case of a 55-year-old male patient with a long-standing history of palpitations. A 24-h Holter monitor revealed an incessant form of long-RP supraventricular tachycardia. The differential diagnosis is presented and discussed. In a stepwise approach, it is explained how the exact mechanism of the tachycardia can be inferred through careful examination of the multiple onsets, terminations and response to spontaneous monomorphic premature ventricular contractions.

Keywords: 24-Holter monitoring; AV node reentrant tachycardia; Electrophysiology mechanisms.

Publication types

Case Reports

MeSH terms

Body Surface Potential Mapping*
Cardiac Catheterization*
Electrocardiography, Ambulatory / methods*
Electrophysiologic Techniques, Cardiac*
Humans
Male
Middle Aged
Tachycardia, Supraventricular / diagnosis*