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Three Voices of the Atrium: A Unique Case Finding on a Neonate ECG
Qian Zhang1, Hongguang Wu1, Ying Huang1
1Cardiovascular Medicine Center, Arrhythmia Department, The University of Hong Kong Shenzhen Hospital, Shenzhen, Guangdong Province, China.
Case Summary:
We report a rare case of transient triple atrial beats observed in a full-term neonate presenting with severe metabolic acidosis (pH 7.097). The electrocardiographic findings revealed 3 distinct and electrically isolated atrial rhythms (P', P″, and sinus P waves), which generated atrial fusion waves upon coincidental temporal overlap.
Take-Home Message:
Transient triple dissociated atrial rhythms are induced by severe metabolic acidosis and carry a favorable prognosis.
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