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(Chest. 1974;66:172-175.)
© 1974 American College of Chest Physicians

Appearance of Atrial Rhythm with Absent P Wave in Longstanding Atrial Fibrillation

Howard S. Friedman M.D.1; Joseph A. Gomes M.D.1; Anthony Tardio M.D.1; Rafael Levites M.D.1; and Jacob I. Haft M.D., F.C.C.P.1

1 Cardiac Section, Bronx VA Hospital and Mount Sinai School of Medicine, New York City

A man with rheumatic heart disease and longstanding atrial fibrillation had an electrocardiogram that showed a regular rhythm without atrial activity. Through use of various techniques atrial depolarization was identified. Other features of this rhythm disturbance included digitalis-induced Mobitz type 2 AV block, concomitant Mobitz type 1 and type 2 AV block and possible "lone left atrial rhythm" with electromechanical dissociation.

Submitted on October 15, 1974






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Copyright © 1974 by the American College of Chest Physicians.