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Received May 23, 2014; accepted August 6, 2014; released online September 11, 2014 Time for primary review: 14 days Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, Saitama, Japan Mailing address: Yasushi Wakabayashi, MD, Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma, Omiya-ku, Saitama 330-8503, Japan. E-mail: 99098yw@jichi.ac.jp ISSN-1346-9843 doi: 10.1253/circj.CJ-14-0553 All rights are reserved to the Japanese Circulation Society. For permissions, please e-mail: cj@j-circ.or.jp Localized Reentrant Atrial Tachycardia Without a History of Catheter Ablation in a Patient With Apical Hypertrophic Cardiomyopathy