Multifocal atrial tachycardia,”Need at least 3 different P wave morphologiesSeen in severe pulmonary diseasePresents like wandering atrial pacemaker but is tachycardic Electrical cardioversion is inappropriate for treatment Treat underlying disease and can use CCBs, B-blockres, digoxin, etc if LV function is preserved.If LV function is not preserved, used digoxin, diltiazem

Multifocal atrial tachycardia,”Need at least 3 different P wave morphologiesSeen in severe pulmonary diseasePresents like wandering atrial pacemaker but is tachycardic Electrical cardioversion is inappropriate for treatment Treat underlying disease and can use CCBs, B-blockres, digoxin, etc if LV function is preserved.If LV function is not preserved, used digoxin, diltiazem

or amiodarone”