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Card Electrophysiol Clin. 2010 Jun;2(2):295-298. doi: 10.1016/j.ccep.2010.01.017.

A Case of Atrial Arrhythmia After Lung Transplant.

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Cardiac Electrophysiology, Cardiology Division, University of California, San Francisco, 500 Parnassus Avenue, MU East 434, Box 1354, San Francisco, CA 94143, USA.


A case of atrial arrhythmia after lung transplant is presented. The key features of this case are relevant to most atypical flutters. A combination of entrainment and electroanatomic mapping can help to efficiently identify the culprit area. The target is typically a long mid-diastolic fractionated potential shown to be integral to the circuit by entrainment mapping. A micro-reentrant circuit may appear to be focal by the electroanatomic map, but entrainment techniques can still be used to localize the tachycardia.


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