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She was awake, alert, well perfused, with normal mental status and overall unremarkable physical exam except for a regular tachycardia, possible rales at both bases, some mild RUQ abdominal tenderness. Thus, I believe it is a regular, monomorphic, wide complex tachycardia. Or it could simply still be classic VT. What is the Diagnosis?
Devices were programmed to detect non-sustained brady- or tachy-arrhythmias. This provided comprehensive rhythm surveillance and automatic downloads of all detections to a monitoring station for cardiology interpretation. None died and no arrhythmias longer than 30s duration occurred during 3-year follow-up.
While its action improves AV conduction it may increase the sinus rate, producing a sinus tachycardia with adverse effect. A DDENDUM # 2 ( 3/8/2025 ) : I've included below an Audio Pearl a Video Pearl and links for download of PDFs reviewing the ECG diagnosis of AV Blocks. However, Atropine is not benign.
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