Electrocardiographic artifact can simulate ventricular tachycardia.The literature regarding electrocardiographic artifact is limitedto case reports,1,2,3,4,5,6,7 proposed classifications,8,9 anddiagnostic criteria.10 There is little information regardingthe clinical implications of the misdiagnosis of artifact asventricular tachycardia. We describe 12 patients who underwentunnecessary diagnostic or therapeutic interventions as a resultof such a misdiagnosis.
Methods
We included in this series patients who were seen in consultationby a cardiac electrophysiologist at our institution between1995 and 1999 and who underwent a diagnostic procedure or receivedtreatment unnecessarily, solely as a result of the misdiagnosisof artifact as ventricular tachycardia. We . . . [Full Text of this Article]
Results
Characteristics of the Patients
Characteristics of the Artifact
Clinical Consequences of Misdiagnosis
Characteristics of the Physicians
Discussion
Source Information
From the Department of Internal Medicine, Division of Cardiology, University of Michigan Medical Center, Ann Arbor.
Address reprint requests to Dr. Knight at the University of Michigan Health System, 1500 E. Medical Center Dr., B1F245, Ann Arbor, MI 48109-0022, or at bpk@umich.edu.
References
Related Letters:
Electrocardiographic Artifact
Littmann L., Monroe M. H., Smith R. M., Smith R. W., Unice R. M., Chrisman L., Squire A., Langan N., Halperin J., Knight B. P., Morady F.
Extract |
Full Text
N Engl J Med 2000;
342:590-592, Feb 24, 2000.
Correspondence
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