Wednesday August 6, 2008

Q; Which condition may mimic pseudo-atrial flutter on EKG and on monitor?


A; Parkinsonian tremor (first reported about 40 years ago 1 and later on many other reports confirmed it).

In literature, cases have been reported of pseudo atrial flutter with use of electronic devices by patient. 2


References:

1. MUSCLE-TREMOR ARTIFACT DUE TO PARKINSON'S SYNDROME. IT STIMULATED ATRIAL FLUTTER AND DISAPPEARED DURING SLEEP - Postgrad Med. 1965 Jun;37:718-20.
2. Atrial flutter simulated by a portable CD player - mayo clinic proceedings - march 2006,82(3), Page 383 -pdf file