Widely Split P Waves After Pharmacologic Cardioversion in a Patient With Atrial Fibrillation

Monika I Shumkova; Elayne K de Oliveira; Dario T Bertolone; Chiara Valeriano; Isabelle Depoot; Flore Vincent; Tom De Potter; Guy Van Camp

doi:10.1016/j.jaccas.2023.102036

Widely Split P Waves After Pharmacologic Cardioversion in a Patient With Atrial Fibrillation

JACC Case Rep. 2023 Sep 27:25:102036. doi: 10.1016/j.jaccas.2023.102036. eCollection 2023 Nov 1.

Authors

Monika I Shumkova¹, Elayne K de Oliveira^{1

2}, Dario T Bertolone^{1

2}, Chiara Valeriano^{1

2}, Isabelle Depoot³, Flore Vincent⁴, Tom De Potter¹, Guy Van Camp¹

Affiliations

¹ OLV Heart Center, Aalst, Belgium.
² Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.
³ Department of Geriatrics, Onze Lieve Vrouwziekenhuis Hospital, Aalst, Belgium.
⁴ Department of Cardiology, Algemeen Ziekenhuis Maria Middelares, Gent, Belgium.

Abstract

We report a case of a clinically asymptomatic patient with extreme P-wave separation on the electrocardiogram mimicking atrial tachycardia with atrioventricular block. The accurate examination of the patient, analysis of the electrocardiogram, and echocardiographic findings led to proper diagnosis, management, and treatment. (Level of Difficulty: Intermediate.).

Keywords: atrial tachycardia; echocardiography; electrocardiogram.

Publication types

Case Reports