Cardiac dysfunction is not limited to the elderly. In fact, the forms
of tachycardia discussed in this article usually begin before age 40,
The authors summarize the mechanisms involved and the findings on elec
trocardiography that help identify the type of dysrhythmia in patients
presenting with palpitations and other signs of possible cardiac dise
ase. In addition, they describe the procedure that has revolutionized
treatment for reentrant tachycardia: closed-chest radiofrequency cathe
ter ablation.