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Dana B. Gal, MD, Julianne Wojciak, MS, Jennifer Perera, MD, Ronn E

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Presentation on theme: "Dana B. Gal, MD, Julianne Wojciak, MS, Jennifer Perera, MD, Ronn E"— Presentation transcript:

1 Atrial standstill in a pediatric patient with associated caveolin-3 mutation 
Dana B. Gal, MD, Julianne Wojciak, MS, Jennifer Perera, MD, Ronn E. Tanel, MD, Akash R. Patel, MD  HeartRhythm Case Reports  Volume 3, Issue 11, Pages (November 2017) DOI: /j.hrcr Copyright © 2017 Heart Rhythm Society Terms and Conditions

2 Figure 1 Progressive electrocardiograms (ECGs) demonstrating rhythm over time. A: Initial ECG showing junctional rhythm with isolated ectopic beats. B: ECG from presentation showing junctional rhythm with episodes of nonsustained atrial tachycardia. C: ECG after ablation showing junctional bradycardia and no evidence of atrial activity approximately 2 weeks after the first ECG. D: Last available ECG obtained 5 months after ablation with no evidence of atrial activity. HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

3 Figure 2 Echocardiograms demonstrating (A) lack of atrial contraction, (B) absence of the a′ wave, and (C) absence of the a. wave. HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

4 Figure 3 A: Voltage mapping from the first electrophysiology study showing focus of left atrial tachycardia near the anterior mitral annulus, which was subsequently ablated. B and C: Voltage mapping from the first (panel B) and second (panel C) electrophysiology studies demonstrating progressive right atrial scar. HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

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