TY - JOUR T1 - THe irregular tachycardia that was not atrial fibrillation AU - Katz DF, Varosy PD, Nguyen DT, et al Y1 - 2011/12/12 N1 - 10.1001/archinternmed.2011.577 JO - Archives of Internal Medicine SP - 1985 EP - 1985 VL - 171 IS - 22 N2 - A 49-year-old woman was admitted to the inpatient cardiology service with complaints of palpitations, fatigue, and dyspnea on exertion. During a previous hospitalization she was noted to have a paroxysmal, irregular tachycardia with largely the same left bundle branch block that was seen during normal sinus rhythm; this arrhythmia was believed by her physicians to represent atrial fibrillation. At that time, findings from echocardiography were consistent with rheumatic mitral valve disease. Her outpatient medical regimen consisted of metoprolol tartrate and warfarin sodium for presumed valvular atrial fibrillation. An electrocardiogram (ECG) was obtained at the time of readmission (Figure 1). SN - 0003-9926 M3 - doi: 10.1001/archinternmed.2011.577 UR - http://dx.doi.org/10.1001/archinternmed.2011.577 ER -