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Focal atrial tachycardia mimicking catecholaminergic polymorphic ventricular tachycardia: a case report.

Eur Heart J Case Rep

November 2023

Department of Internal Medicine I, University of Wuerzburg, University Clinic, Oberdürrbacherstraße 6, Wuerzburg D-97080, Germany.

Background: In childhood and adolescence, cardiac arrhythmias are often benign in the absence of congenital heart defects. Nevertheless, life-threatening inherited arrhythmogenic syndromes can become clinically manifest in early childhood. As early symptoms may be similar in both conditions, thorough workup is fundamental to avoid delayed diagnosis and misdiagnosis.

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Beat-to-beat QRS alternans.

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November 2023

Division of Cardiology, Section of Electrophysiology, University of California San Francisco, San Francisco, California. Electronic address:

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Aberrant Ventricular Conduction: Revisiting an Old Concept.

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May 2023

CardioScan Pty Ltd, 293 Camberwell Rd, Melbourne, Vic, Australia; Department of Cardiology, The Royal Melbourne Hospital and the Department of Medicine, University of Melbourne, Vic, Australia. Electronic address:

Article Synopsis
  • Aberrant ventricular conduction, a concept introduced over 100 years ago, is often misunderstood despite advancements in cardiac science, as it primarily originates from the His-Purkinje system's physiological refractoriness rather than true conduction system disease.
  • This phenomenon can present itself through various patterns such as premature atrial ectopics and the Ashman phenomenon, which complicate the diagnosis and management of broad complex tachycardia.
  • Recognizing and differentiating aberrant ventricular conduction from ventricular tachyarrhythmias is crucial, as they have different treatment strategies and prognostic outcomes; the review aims to clarify ECG characteristics for precise interpretation.
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