Abstract
The identification of supraventricular arrhythmias from a standard 12-lead electrocardiogram (ECG) is sometimes difficult. Intra-atrial electrocardiography 1 Vogel JHK Tabari K Averill KH et al. A simple technique for identifying P waves in complex arrhythmias. Am Heart J. 1967; 67: 158 Abstract Full Text PDF Scopus (11) Google Scholar and His bundle recordings 2 Goldreyer BN Intracardiac electrocardiography in the analysis and understanding of cardiac arrhythmias. Ann Intern Med. 1972; 77: 117 Crossref PubMed Scopus (33) Google Scholar have been demonstrated to be of value under these circumstances. The following patient is of interest because he displayed two atrial arrhythmias without diagnostic P wave activity on the surface ECG.
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