Successful Interventional Treatment of an Octogenarian Presenting with Syncope and Ebstein’s Anomaly of the Tricuspid Valve

Twelve-lead electrocardiogram obtained on admission when patient was asymptomatic.
Apical 4-chamber view showing markedly dilated right ventricle (RV) and atrium (RA).
Rhythm strip obtained during a pre-syncopal episode. Arrow indicates normal P-wave.
Intracardiac electrocardiographic tracing obtained as arrhythmia was terminated by premature atrial beat (arrow). Leads are I (surface I), II (surface II), V1 (surface V1), HRA 3-4 (high right atrium at sinus node), HIS 3-4 and HIS 1-2 (Bundle of His reco
Intracardiac electrocardiographic tracing obtained with ablation catheter at success site after successful ablation. The conduction pattern confirms it is at the sinus node.
Author(s): 

Thomas A. Hennebry, MB, BCh, BAO, Hugh G. Calkins, MD, *Nisha Chandra-Strobos, MD

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