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European Heart Journal 1986 7(4):357-359;
Copyright © 1986 by the European Society of Cardiology.
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© 1986 The European Society of Cardiology

Pseudo-atrial dissociation: a respiratory artifact

E. C. CHERIEX, P. BRUGADA and H. J. J. WELLENS

Department of Cardiology, University of Limburg The Netherlands

Received 10 May 1985; revised 4 November 1985; .

Address for correspondence: E. C. Cheriex, MD, Department of Cardiology, St. Annadal Hospital, University of Limburg, P.O. Box 1918,6201 BX Maastricht, The Netherlands.

Abstract

Atrial dissociation is an electrocardiographic phenomenon characterized by the occurrence of two separate atrial rhythms. A patient is presented, showing electrocardiographic signs suggestive for atrial dissociation. The dissociated, non-conducted, atrial rhythm showing micro-oscillations after its P wave, is shown to be a respiratory artifact. It is concluded that the micro-oscillations seen on the surface electrocardiogram after a dissociated P wave are probably diagnostic for pseudo-atrial dissociation.

Key Words: Atrial dissociation • atrial arrhythmia • electro-cardiogram


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