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Diaphragmatic flutter masquerading as palpitations

demonstrate high-frequency oscillations superimposed on tidal respiratory movements in the flow loop curve. Carbamazepine may be useful in DF.[2] The diaphragm is under the control of two separate loops; an automatic reticulospinal circuit from medullary respiratory centers and a volitional circuit via the corticospinal tract from the motor cortex. Distinct types of DF may exist, including the isolated diaphragmatic tremor in which there is some degree of volitional suppressibility and minimal respiratory compromise.[3]