<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-4142</journal-id>
<journal-title><![CDATA[Revista Costarricense de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. costarric. cardiol]]></abbrev-journal-title>
<issn>1409-4142</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Cardiología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-41422017000100018</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Imagen de Flúter Atrial en una Paciente con Marcapasos Bicameral: ¿Cuál es el Mecanismo?]]></article-title>
<article-title xml:lang="en"><![CDATA[Atrial Flutter in a Patient with a Two-chamber Pacemaker. What is the mechanism?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez Sotelo]]></surname>
<given-names><![CDATA[Oswaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínica Bíblica Servicio de Cardiología ]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>19</volume>
<numero>1-2</numero>
<fpage>18</fpage>
<lpage>20</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-41422017000100018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-41422017000100018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-41422017000100018&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Se presenta el caso de una paciente portadora de un marcapasos bicameral implantado por enfermedad del nodo sinusal. En su primer control postoperatorio presentó un electrocardiograma sugestivo de flúter atrial. Se discuten los mecanismos posibles que resultan de la interacción entre el ritmo propio del paciente y la función del marcapasos y sus manifes taciones electrocardiográficas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Atrial Flutter in a Patient with a Two-chamber Pacemaker. What is the mechanism? We present the case of a female patient patient in whom a dual-chamber pacemaker was implanted due to sick sinus syndrome. During her first postoperative follow-up visit, her electrocardiogram showed an atrial flutter pattern. The mechanisms of interaction between the patient´s intrinsic rhythm and the pacemaker functions as well as the main electrocardiographic findings are discussed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[enfermedad del nodo sinusal]]></kwd>
<kwd lng="es"><![CDATA[flúter atrial]]></kwd>
<kwd lng="es"><![CDATA[marcapasos]]></kwd>
<kwd lng="en"><![CDATA[sick sinus syndrome]]></kwd>
<kwd lng="en"><![CDATA[atrial flutter]]></kwd>
<kwd lng="en"><![CDATA[pacemaker.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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<person-group person-group-type="author">
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</back>
</article>
