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Multifocal Atrial Tachycardia

James McCord; Steven Borzak
Author and Funding Information

From the Cardiovascular Division, Henry Ford Hospital, Detroit


1998 by the American College of Chest Physicians


Chest. 1998;113(1):203-209. doi:10.1378/chest.113.1.203
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Published online

Abstract

Multifocal atrial tachycardia is typically seen in elderly patients with severe illnesses, most commonly COPD. The mechanism of the arrhythmia may be delayed afterdepolarizations leading to triggered activity, but this has not been firmly established. The initial treatment of multifocal atrial tachycardia should include supportive measures and aggressive reversal of precipitating causes. Since multifocal atrial tachycardia is commonly a secondary phenomenon, the role for antiarrhythmic therapy is unclear. Metoprolol, magnesium, and verapamil have been evaluated in a few treatment studies, and may have a role in the treatment of multifocal atrial tachycardia.


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    Print ISSN: 0012-3692
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