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Is it sinus or is it a supraventricular dysrhythmia? Of academic interest — are the arrhythmias that developed. If rapid, that means that the depolarization is rapidly advancing and that it must be using conducting fibers (Purkinje fibers), and is therefore supraventricular. What is the SupraVentricular Rhythm?
If you don't know what the dysrhythmia is, then try procainamide. Definitive diagnosis that ECG #1 is in fact VT is more than academic. Pads were placed with ultrasound guidance, so they were in the correct position. What to do now? If you believe it is SVT, then try adenosine. So I would give procainamide.
Atrial dysrhythmias, and atrial fi brillation in particular, are frequently misdiagnosed by computer algorithms and then by the physician who overreads them. Shah and Rubin studied the computer rhythm interpretation of 2160 12-lead ECGs, compared to 2 cardiologists [ 18 ].
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