Abstract
Case presentation A 59-year-old woman with a history of palpitations and incessant narrow complex tachycardia was referred for electrophysiologic study and catheter ablation. Multipolar catheters were placed in the right atrium, His-bundle region, right ventricle, and coronary sinus (CS), with the proximal CS electrode positioned at the CS ostium. At baseline, the patient had incessant long RP tachycardia with negative P waves in the inferior and precordial leads. The tachycardia
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