Open AccessTREMORS MIMICKING ATRIAL FLUTTER IN AN ELDERLY LADY
Author(s) -
Intisar Ahmed,
Hunaina Shahab,
Aamir Hameed Khan
Publication year - 2022
Publication title -
pakistan heart journal
Language(s) - English
Resource type - Journals
eISSN - 2227-9199
pISSN - 0048-2706
DOI - 10.47144/phj.v54i4.2120
Subject(s) - medicine , atrial flutter , asymptomatic , sinus rhythm , cardiology , chest pain , pneumonia , electrocardiography , atrial fibrillation
A 77 -year-old lady with history of hypertension and Parkinson`s disease was admitted with cough and fever and diagnosed as pneumonia. On second day of admission, she started having chest pain, initial ECG was interpreted as atrial flutter. When her ECG was reviewed by a cardiologist, ECG features were found to be consistent with artifacts due to tremors. A repeat 12 leads ECG clearly demonstrated normal sinus rhythm and the patient remained completely asymptomatic throughout the hospital stay. Tremor induced artifacts can be mistaken for arrhythmias. Correct diagnosis is important, in order to avoid inappropriate treatment and unnecessary interventions.