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A PICTURE IS WORTH A THOUSAND WORDS |
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Year : 2012 | Volume
: 13
| Issue : 3 | Page : 118 |
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Pseudo-arrhythmic ECG artifact
Satyajeet Singh, Naveen Garg, Aditya Kapoor
Department of Cardiology, Sanjay Gandhi PGIMS, Lucknow, Uttar Pradesh, India
Date of Web Publication | 9-Oct-2012 |
Correspondence Address: Aditya Kapoor Sanjay Gandhi PGIMS, Lucknow, Uttar Pradesh India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1995-705X.102159
How to cite this article: Singh S, Garg N, Kapoor A. Pseudo-arrhythmic ECG artifact. Heart Views 2012;13:118 |
The above is a Holter examination of a patient referred for evaluation of occasional complaints of pulsed beats.
Holter analysis revealed bizarre wide QRS morphology which on initial examination suggested ventricular tachycardia [Figure 1]a-b. The patient was completely asymptomatic during the episode. The recording in channel 3 revealed a completely normal QRS pattern [Figure 1]c. | Figure 1: Showing recordings in Holter channels 1 (a), Channel 2 (b) and Channel 3 (c) respectively. Channels 1 and 2 reveal a bizarre QRS morphology suggestive of ventricular tachycardia. Simultaneous recording in Channel 3 reveal a completely normal QRS pattern. The normal spontaneous QRS hidden within the artifacts in Channel 1 and 2 are marked with arrows
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ECG artifacts can be confused with supraventricular or ventricular arrhythmias which can occasionally lead to unnecessary investigations and injudicious therapeutic interventions.
[Figure 1]
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