Irregular Rhythm in a Middle-Aged Man Presenting With New-Onset Heart Failure

Author:

Ali Hussam1,Passarelli Ilaria2,Cappato Riccardo1

Affiliation:

1. Arrhythmia & Electrophysiology Centre, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy

2. Cardiology Department, Bassini Hospital, Cinesello Balsamo, Milan, Italy

Abstract

A man in his 50s with recurrent palpitations, fatigue, and progressive exertion dyspnea had irregular narrow-QRS tachycardia in an incessant, repetitive fashion with heart rates up to 180 beats per minute and occasional short runs of wide-QRS tachycardia on Holter monitoring and 12-lead electrocardiogram. What would you do next?

Publisher

American Medical Association (AMA)

Subject

Cardiology and Cardiovascular Medicine

Reference5 articles.

1. Catheter ablation for atrial fibrillation with heart failure.;Marrouche;N Engl J Med,2018

2. 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death.;Al-Khatib;Circulation,2018

3. 2020 ACC/AHA guideline for the management of patients with valvular heart disease.;Otto;J Am Coll Cardiol,2021

4. Dual atrioventricular nodal non-re-entrant tachycardia.;Peiker;Europace,2016

5. Arrhythmia-induced cardiomyopathy.;Huizar;J Am Coll Cardiol,2019

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