Tropical Reef

More than one patient will describe their arrhythmia as feeling like a "fish flopping in the chest". This description may not carry much predictive value as to etiology, but it does create a vivid mental image.

Here one can see slow-fast AV nodal reentry (black-and-gold angel fish circling the AV junction) during "Moray" mapping.

Also evident are wrasse bundle branches, anemone pulmonary veins, dolphin pulmonary trunk, trout papillaries, transmitral fishermen, sea fan PA, net cardiac plexus with input from the "stellate" ganglion (sea star), and aortic life saver.

You may even see the right upper lobe scallop, middle lobe shrimp and snail, right lower lobe and left upper lobe Simnia snails, left subclavian and IVC augers, tuna tail aorta, and retrocardiac emperor angelfish.

Find the shark!