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Case Reports
. 2021 Sep 4;7(12):806-811.
doi: 10.1016/j.hrcr.2021.08.013. eCollection 2021 Dec.

Incessant atrial and ventricular tachycardias associated with an SCN5A mutation

Affiliations
Case Reports

Incessant atrial and ventricular tachycardias associated with an SCN5A mutation

John Papagiannis et al. HeartRhythm Case Rep. .
No abstract available

Keywords: Atrial tachycardia; Catheter ablation; Quinidine; Sodium channel mutation; Ventricular tachycardia.

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Figures

Figure 1
Figure 1
A: Twelve-lead electrocardiogram of ectopic atrial tachycardia at presentation with narrow QRS (60 ms). B–D: Electroanatomic maps during atrial tachycardia showing earliest atrial activation in the right atrial appendage (B), superior vena cava–right atrium junction (C), and roof of left atrium (D). E: Intracardiac electrograms during one of the ablation attempts in the right atrial appendage.
Figure 2
Figure 2
Radiographic images, 12-lead electrocardiograms, and intracardiac electrograms during ventricular tachycardia showing various morphologies and ablation location attempts. A: Anterior right ventricle (RV) wall. B: RV apex. C: Left ventricular septum. D: Purkinje-like potentials preceding the QRS onset at a site in the anterior RV.
Figure 2
Figure 2
Radiographic images, 12-lead electrocardiograms, and intracardiac electrograms during ventricular tachycardia showing various morphologies and ablation location attempts. A: Anterior right ventricle (RV) wall. B: RV apex. C: Left ventricular septum. D: Purkinje-like potentials preceding the QRS onset at a site in the anterior RV.
Figure 3
Figure 3
A: Representative sodium currents recorded in Chinese hamster ovary (CHO) cells transfected with human cardiac wild-type SCN5A. B: Representative sodium currents recorded in CHO cells transfected with L939P. C: Summary of the current-voltage relationships of the activations of the 2 groups of sodium current. The voltage-clamp protocol is shown as an insert.

References

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