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A series of cardiac arrhythmias were seen during the course of her resuscitation — including the interesting arrhythmia shown in the long lead II of Figure-1. PEARL # 3: At this point — the most time-efficient step for solving today's rhythm will be to determine the nature of atrial activity.
By this definition, a variety of rhythms may qualify as “SVTs” — including sinus tachycardia, atrialflutter or fibrillation, MAT, AVRT/AVNRT, among others. ECG Blog #185 — Reviews the P s, Q s, 3 R Approach to Arrhythmia Interpretation. ECG Blog #138 — AFlutter vs Atrial Tachycardia.
The possibility of an ischemic cause of the ventricular arrhythmia has to be considered! A workup was undertaken in search of a cause of the patient's ventricular arrhythmia. Once the arrhythmia was under control cardiac MRi was performed. The idiopathic VTs are an interesting group of arrhythmias! No PVCs are seen.
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