A unique case of pulmonary embolism presenting as a paroxysmal atrial tachycardia instigated only by recumbency and stooping Nagesh Chopra, MD HeartRhythm.

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Presentation transcript:

A unique case of pulmonary embolism presenting as a paroxysmal atrial tachycardia instigated only by recumbency and stooping Nagesh Chopra, MD HeartRhythm Case Reports Volume 2, Issue 5, Pages 404-406 (September 2016) DOI: 10.1016/j.hrcr.2016.05.003 Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 1 Computed tomography angiogram of the chest. Views of the chest computed tomography angiogram revealing evidence of filling defects in the segmental branches of left pulmonary artery in the left lower lobe of the lung, consistent with pulmonary embolism: A: coronal plane; B: axial plane; C: sagittal plane. HeartRhythm Case Reports 2016 2, 404-406DOI: (10.1016/j.hrcr.2016.05.003) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 2 Telemetry strip: Initiation of atrial tachycardia (marked by double arrow) instigated by lying down or bending. HeartRhythm Case Reports 2016 2, 404-406DOI: (10.1016/j.hrcr.2016.05.003) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 3 Twelve-lead electrocardiogram morphology of atrial tachycardia. The 12-lead electrocardiogram displays initiation of atrial tachycardia. The P-wave morphology is most consistent with an inferior left atrial focus of origin (see text for details). HeartRhythm Case Reports 2016 2, 404-406DOI: (10.1016/j.hrcr.2016.05.003) Copyright © 2016 Heart Rhythm Society Terms and Conditions