Abstract

Complex serial type of atrial tachycardias could be encountered in the context of atrial fibrillation ablation. Careful conventional mapping and precise interpretation of electrograms are required for the diagnosis and treatment. Subtle changes in electrogram could be a sign of transition of atrial tachycardia. A conduction delay in left atrial appendage should be checked after extensive ablation and/or multiple procedures to avoid its electrical isolation.

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