Pseudo–Ventricular Tachycardia Mimicking Malignant Arrhythmia in a Patient with Rapid Atrial Fibrillation

Author:

Barake Walid1,Baranchuk Adrian1,Pinter Arnold1

Affiliation:

1. Walid Barake is a senior internal medicine resident at Queen’s University, Kingston, Ontario, Canada. Adrian Baranchuk is an associate professor of medicine in the Division of Cardiology at Queen’s University. Arnold Pinter is an assistant professor in the Division of Cardiology at St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada.

Abstract

Artifacts can simulate arrhythmias such as atrial flutter, atrial fibrillation, and ventricular tachycardia. A case of pseudo-ventricular tachycardia is outlined in a patient with newly diagnosed atrial fibrillation, which made the diagnosis a special challenge. Characteristic signs of pseudo–ventricular tachycardia are described. This case reinforces the importance of recognizing artifacts to avoid unnecessary interventions, especially in the telemetry and critical care units. (American Journal of Critical Care. 2014;23:270–272)

Publisher

AACN Publishing

Subject

Critical Care,General Medicine

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