C. RICHARD SMITH JR., D.O.; DAVID ELBAUM, D.O.
To the editor: The proper interpretation of ambulatory electrocardiograms requires an awareness of various artifacts that can result in misdiagnosis and inappropriate therapy. Pseudotachycardias have been previously described on Holter recordings. These have been attributed to either a worn motor or battery failure (1-4). We recently observed an apparent supraventricular tachycardia on two separate occasions in a 56-year-old man with coronary artery disease.
The patient, who had severe coronary artery disease and a left ventricular aneurysm, was seen by us for evaluation of premature ventricular contractions. A Holter monitor done while the patient was in the hospital showed sinus rhythm
SMITH CR, ELBAUM D. Car Wash Tachycardia. Ann Intern Med. ;95:122–123. doi: 10.7326/0003-4819-95-1-122_2
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Published: Ann Intern Med. 1981;95(1):122-123.
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