Stanley H. Wishner, M.D.; John A. Kastor, M.D.; Peter M. Yurchak, M.D.
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Eleven cases of double tachycardia were encountered, 10 in the last year. The high incidence prompted a review of records and electrocardiograms. Criteria were atrioventricular dissociation and ectopic accelerated pacemakers controlling atria and ventricles. The atrial mechanism in 10 of 11 cases was atrial tachycardia and 1 of 11, atrial flutter. The ventricular mechanism in five was junctional tachycardia only, and six had junctional or ventricular mechanisms, or both, alternatively. Diagnosis was often delayed because of lack of appreciation of AV dissociation and failure to recognize atrial mechanism. The clinical features were striking. All but three patients were over 60
Wishner SH, Kastor JA, Yurchak PM. Double Tachycardia—Clinical Features.. Ann Intern Med. ;74:823. doi: 10.7326/0003-4819-74-5-823_2
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Published: Ann Intern Med. 1971;74(5):823.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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