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PEARL # 2: When the rate of AFib is rapid — this irregular tachycardia may look regular when it is not. That the rhythm is AFib — is easier to appreciate in Figure-3. Clearly, the rhythm is AFib — here with a controlled ventricular response. Figure-3: Today's rhythm is not regular ( See text ).
MY THOUGHTS on ECG #1: My initial impression on looking at the ECG in Figure-1 — was that the rhythm was either rapid AFib in a patient with WPW — or — PMVT ( P oly M orphic VT ). The reason I initially thought the underlying rhythm was AFib — is that no atrial activity is seen in any lead and the rhythm “looks” irregular. See text ).
Among the fast Supraventricular Rhythms: This is not AFib — because the rhythm is regular. P utting I t A ll T ogether : — The Rhythm in Figure-1 What we have just described is the following: A regular WCT ( = W ide- C omplex T achycardia ) at a rate very close to 300/minute — without clear sign of atrial activity.
With the history of Afib, CTA abdomen was ordered to r/o mesenteric ischemia vs ischemic colitis vs small bowel obstruction. Systematic Assessment of the ECG in Figure-1: My Descriptive Analysis of ECG findings in Figure-1 is as follows: Sinus tachycardia at ~110/minute. The patient had mild but diffuse abdominal tenderness.
The combined solutions are expected to enhance performance and streamline workflows for electrophysiologists during catheter ablation procedures to treat atrial fibrillation , AFib. 1 Approximately 33 million patients worldwide are living with AFib. 1 Approximately 33 million patients worldwide are living with AFib.
Answer : you must treat the patient's underlying condition causing sinus tachycardia, and repeat the ECG at the lower heart rate. They measured QTc while patients were in Afib and then again after conversion, when they were in sinus rhythm. Am J Cardiol 12(9):1379-1383; Nov 2013. which is 0.6 So is it really prolonged?
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