Dana B. Gal, MD, Julianne Wojciak, MS, Jennifer Perera, MD, Ronn E

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Abnormal epicardial electrophysiologic substrate in patients with early repolarization pattern and reduced left ventricular systolic function: A report.
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Presentation transcript:

Atrial standstill in a pediatric patient with associated caveolin-3 mutation  Dana B. Gal, MD, Julianne Wojciak, MS, Jennifer Perera, MD, Ronn E. Tanel, MD, Akash R. Patel, MD  HeartRhythm Case Reports  Volume 3, Issue 11, Pages 513-516 (November 2017) DOI: 10.1016/j.hrcr.2017.07.014 Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 1 Progressive electrocardiograms (ECGs) demonstrating rhythm over time. A: Initial ECG showing junctional rhythm with isolated ectopic beats. B: ECG from presentation showing junctional rhythm with episodes of nonsustained atrial tachycardia. C: ECG after ablation showing junctional bradycardia and no evidence of atrial activity approximately 2 weeks after the first ECG. D: Last available ECG obtained 5 months after ablation with no evidence of atrial activity. HeartRhythm Case Reports 2017 3, 513-516DOI: (10.1016/j.hrcr.2017.07.014) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 2 Echocardiograms demonstrating (A) lack of atrial contraction, (B) absence of the a′ wave, and (C) absence of the a. wave. HeartRhythm Case Reports 2017 3, 513-516DOI: (10.1016/j.hrcr.2017.07.014) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 3 A: Voltage mapping from the first electrophysiology study showing focus of left atrial tachycardia near the anterior mitral annulus, which was subsequently ablated. B and C: Voltage mapping from the first (panel B) and second (panel C) electrophysiology studies demonstrating progressive right atrial scar. HeartRhythm Case Reports 2017 3, 513-516DOI: (10.1016/j.hrcr.2017.07.014) Copyright © 2017 Heart Rhythm Society Terms and Conditions