心电图挑战：局灶性房性心动过速模拟扑动：通过梯形图明确诊断。

Q3 Medicine

Indian Pacing and Electrophysiology Journal Pub Date : 2025-07-28 DOI:10.1016/j.ipej.2025.07.014

Erick Sánchez-Rodriguez, Jose Luis Morales-Velázquez, Pio Iran Coria Sandoval, Hugo Enrique Coutiño Moreno

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引用次数: 0

摘要

我们提出的情况下，一个75岁的男性高血压病史，2型糖尿病和同心性左心室肥厚谁提出心悸。初步心电图提示心房扑动；然而，使用阶梯图的详细分析显示局灶性房性心动过速交替2:1和3:1传导。一些最初被解释为扑动波的偏转被确定为T波，突出了区分真正的心房活动和心室复极的重要性。出口块的存在进一步支持了震源。本病例强调了阶梯图在准确解释复杂室上性心律失常中的价值。

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ECG Challenge: Focal atrial tachycardia mimicking flutter: Diagnosis clarified by ladder diagrams.

We present the case of a 75-year-old man with a history of hypertension, type 2 diabetes, and concentric left ventricular hypertrophy who presented with palpitations. The initial electrocardiogram suggested atrial flutter; however, detailed analysis using a ladder diagram revealed a focal atrial tachycardia with alternating 2:1 and 3:1 conduction. Some deflections initially interpreted as flutter waves were identified as T waves, highlighting the importance of differentiating true atrial activity from ventricular repolarization. The presence of exit block further supported a focal origin. This case underscores the value of ladder diagrams in accurately interpreting complex supraventricular arrhythmias.

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来源期刊

Indian Pacing and Electrophysiology Journal Medicine-Cardiology and Cardiovascular Medicine

CiteScore

2.20

自引率

0.00%

发文量

审稿时长

61 days

期刊介绍： Indian Pacing and Electrophysiology Journal is a peer reviewed online journal devoted to cardiac pacing and electrophysiology. Editorial Advisory Board includes eminent personalities in the field of cardiac pacing and electrophysiology from Asia, Australia, Europe and North America.