CASE PRESENTATION
Fellow 廖敏村 / VS 游治節
Ectopic Paroxysmal Atrial Tachycardia
Cardiovascular Division, Departments of Internal
National Taiwan University Hospital, Taipei, Taiwan
A 45-year-old female
presented with progressive
palpitation in recent one year
Brief history
2010/10 OPD for palpitation
Holter: total 3738 SVEs (3.5%), atrial pairs: 881
No medical control
Free T4 0.999 ng/dL
2011/10 ER for palpitation
ECG: multiple APCs
Holter Total 32282 SVEs (30.1%)
424 atrial runs, longest 7 beats, fastest 136bpm
5393 atrial pairs
ECG
Multiple APCs
Holter
Atrial bigeminy
Holter
Atrial run
Holter
Atrial run with group
Holter
Long-pause 3.6 sec
UCG report 2011/10/13
Ao 24 mm (20-37) IVS 7 mm (7-10)
AV 16 mm (16-26) LVPW 8 mm (8-13)
LA 36 mm (19-40) LVEDD 43 mm (35-53)
RV 16 mm (5-21) LVESD 26 mm (20-35)
LVEF: 70.6%(M-mode)
Mitral valve prolapse, anterior leaflet
Mild MR
Mild to moderate TR
UCG
CXR
EPS tracing (2011/11)
EPS tracing (2011/11)
CARTO mapping
RAO LAO
RFCA
Anterior lateral site of RA ( above the roof of
appendage)
Repeat Holter 2 months later
Thank you for your attention