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Sinus bradycardia – sinus rhythm below 60 bpm is a sinus bradycardia. AFIB/AFL – atrial fibrillation or atrialflutter episodes. Sinus tachycardia – sinus rhythm above 100 bpm is a sinus tachycardia. In healthy individuals occurs during exercising or strong emotions.
Instead, the rate of 150, plus the history of AF, suggested atrialflutter. A close inspection of lead II showed P or flutter waves at a rate of about 300 bpm, also supporting atrialflutter. There appear to be flutter waves at a rate of 300. Flecainide encourages new atrialflutter.
The WCT is interrupted by a series of variable-morphology QRS complexes, with atrialflutter waves note in II, III, and aVF. Detail of Flutter waves The rate of the flutter waves matches the rate of the WCT (about 200/m), proving that the presenting WCT had been 1:1 atrialflutter.
REM Sleep: Each percent increase in nightly REM sleep duration was associated with a lower risk of atrial fibrillation, atrialflutter, and bradycardia (an abnormally slow heart rhythm). Deep sleep: Each percent increase in deep sleep was associated with a lower risk of atrial fibrillation, depression, and anxiety.
The August 17, 2020 post by me in Dr. Smith's ECG Blog — in which I review the phenomenon of Bradycardia-dependent BBB ( sometimes called "Phase 4" or "paradoxical" block ). ECG Blog #242 — Reviews rate -related BBB. ECG Blog #32 — More on rate-related BBB.
PVCs N ot generally considered abnormal ECG findings: Isolated PAC, First Degree AV Block, Sinus bradycardia at a rate of 35-45, and Nonspecific ST-T abnormalities (even if different from a previous ECG). Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful.
There are 2 main options: Overdrive pacing could be considered and in the right clinical situation, this is often effective for reducing ventricular arrhythmias ( especially in the case of preventing pause induced or bradycardia-induced arrhythmias in association with QTc prolongation ). Try a different kind of antiarrhythmic.
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