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Who is the guilty among these two silent killers?

Published byΕυθαλία Ανδρέου Modified over 5 years ago

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Presentation on theme: "Who is the guilty among these two silent killers?"— Presentation transcript:

1 Who is the guilty among these two silent killers?
Bortolo Martini, MD, Claudio Zolla, MD, Francesco Guglielmi, MD, Gian Luca Toffanin, MD, Sergio Cannas, MD, Nicolò Martini, Rocco Arancio, MD  HeartRhythm Case Reports  Volume 3, Issue 1, Pages (January 2017) DOI: /j.hrcr Copyright © 2016 Heart Rhythm Society Terms and Conditions

2 Figure 1 Electrocardiogram taken just after cardiac defibrillation. The traces show sinus rhythm and a resemblance to a type 1 pattern. HeartRhythm Case Reports 2017 3, 33-35DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

3 Figure 2 Flecainide challenge. a: At baseline electrocardiogram (ECG) with right precordial leads V1-V2 placed at the fourth intercostal space. Marked left axis deviation is present, but not type 1 ECG. b: After flecainide a type 1 ECG is present with some late QRS fragmentation. c: After flecainide with V1-V2 placed at the third intercostal space. d: After flecainide with V1-V2 placed at the second intercostal space. HeartRhythm Case Reports 2017 3, 33-35DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

4 Figure 3 Contrast magnetic resonance imaging study of the left ventricle: delayed enhancement (suggesting fibrosis) of the inferior-basal left ventricular wall at the insertion of the posterior papillary muscle (arrow). HeartRhythm Case Reports 2017 3, 33-35DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

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