Affiliation
Waterford Regional Hospital, Waterford, Ireland. asimriaz111@hotmail.comIssue Date
2012-02-01T10:53:10ZMeSH
Aged, 80 and overDiagnostic Errors
Electrocardiography
Essential Tremor/*diagnosis/pathology
Female
Humans
Tachycardia, Ventricular/*diagnosis/pathology
Metadata
Show full item recordCitation
Ir J Med Sci. 2010 Jun;179(2):295-6. Epub 2009 Aug 7.Journal
Irish journal of medical scienceDOI
10.1007/s11845-009-0387-4PubMed ID
19662493Abstract
BACKGROUND: Dramatic artifacts of pseudo flutter have been reported in the past secondary to various factors including tremor (Handwerker and Raptopoulos in N Engl J Med 356:503, 2007) and dialysis machines (Kostis et al. in J Electrocardiol 40(4):316-318, 2007). METHODS: We present this unusual case where the artifact, produced by tremor, was so pronounced to be misdiagnosed and treated as ventricular tachycardia. CONCLUSION: This case highlights the importance of correlating ECG findings with history and clinical examination and of using 12 lead ECGs for rhythm interpretation especially to confirm consistence of arrhythmias in all leads.Language
engISSN
1863-4362 (Electronic)0021-1265 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1007/s11845-009-0387-4