title: ECG of the month. Dyspnea and palpitations 16 years after tricuspid and aortic valve replacement. Atrial tachycardia (possibly slow atrial flutter) with 4:3 type I (Wenckebach) atrioventricular block, right bundle branch block, and left anterior fascicular block.
authors.affiliation: Section of Cardiology, Louisiana State University Health Sciences Center, New Orleans, USA.
authors.forename: D Luke
authors.initials: DL
authors.lastname: Glancy
authors.forename: Vijayendra R
authors.initials: VR
authors.lastname: Jaligam
authors.forename: V Bibb
authors.initials: VB
authors.lastname: Saye
authors.forename: Frank E
authors.initials: FE
authors.lastname: Wilklow
mesh_terms: D000328:Adult; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery; D001282:Atrial Flutter / Q000175:diagnosis* / Q000209:etiology; D001705:Bioprosthesis; D002037:Bundle-Branch Block / Q000175:diagnosis* / Q000209:etiology; D004417:Dyspnea / Q000209:etiology*; D004562:Electrocardiography; D006327:Heart Block / Q000175:diagnosis* / Q000209:etiology; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D013997:Time Factors; D014261:Tricuspid Valve / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000601:surgery