Social anxiety provoked by speech-induced atrial tachycardia

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Presentation transcript:

Social anxiety provoked by speech-induced atrial tachycardia Abhishek Khemka, MD, MBA, Rahul Jain, MBBS, MPH, FHRS, Adnan Sultan, MBBS, Mithilesh Das, MD HeartRhythm Case Reports Volume 1, Issue 3, Pages 117-119 (May 2015) DOI: 10.1016/j.hrcr.2015.01.002 Copyright © 2015 Terms and Conditions

Figure 1 Left: Intracardiac electrogram showing earliest activation close to the mid–crista terminalis. Right: Surface electrogram showing atrial tachycardia initiating with speech and subsiding with silence. From top to bottom: HRA = high right atrium; HISp = His proximal; HISm = His middle; Abl p = ablation proximal; Abl D = ablation distal; Abl U = ablation unipolar; CS 9-10 = coronary sinus proximal; CS 1-2 = coronary sinus distal. HeartRhythm Case Reports 2015 1, 117-119DOI: (10.1016/j.hrcr.2015.01.002) Copyright © 2015 Terms and Conditions

Figure 2 Atrioventricular reentrant tachycardia using a left posterolateral accessory pathway with earliest activation in the mid–coronary sinus (CS 5,6) and distal ablation (Abl D) leads. From top to bottom: HRA = high right atrium; HISp = His proximal; HISm = His middle; Abl p = ablation proximal; Abl D = ablation distal; Abl U = ablation unipolar; CS 9-10 = coronary sinus proximal; CS 1-2 = coronary sinus distal. HeartRhythm Case Reports 2015 1, 117-119DOI: (10.1016/j.hrcr.2015.01.002) Copyright © 2015 Terms and Conditions