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Sinus Rhythm after Pulmonary Vein Isolation

Image 2 of 4 in Series "Two Arrhythmias in the Same Patient"

Description

The patient underwent electrical cardioversion with temporary restoration of sinus rhythm. Atrial fibrillation recurred and he underwent pulmonary vein isolation (PVI) about five weeks after his initial presentation. ECG recorded after PVI shows normal sinus rhythm with a rate of 65/min and a possible old anteroseptal infarct.

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This image is part of the series "Two Arrhythmias in the Same Patient"

Other images in this series

Atrial Fibrillation

by: Joe B. Calkins, Jr., M.D.

The patient presented with palpitations and dyspnea. ECG shows atrial fibrillation with a ventricular rate of approximately 115/min. An additional finding is that of a possible old anteroseptal infarct.

Atrial Flutter

by: Joe B. Calkins, Jr., M.D.

The patient returned five weeks later with palpitations and dyspnea. ECG shows atrial flutter with variable AV conduction and a ventricular rate of approximately 145/min.

Sinus Rhythm after Atrial Flutter Ablation

by: Joe B. Calkins, Jr., M.D.

CTI ablation with placement of a cavo-tricuspid isthmus line in the right atrium to interrupt the reentrant circuit was performed. ECG recorded after the procedure shows normal sinus rhythm.