An unusual tachycardia - Tale of a hidden P wave.

Abstract

Traditional rules of arrhythmia mechanisms may not apply in altered anatomical states such as heart transplantation. We present a case of a young man presenting with incessant tachycardia that violates routine electrocardiographic criteria for rhythm analysis. Meticulous attention to surgical techniques and anastomotic sites is crucial when approaching post-operative arrhythmias.