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His friend was able to get him into the truck and drive him to a nearby community hospital (non-PCI center). There is the appearance of STE in inferior leads II, III, and aVF (with STD in aVR), but this is entirely due to flutter waves which are only seen in those leads. AtrialFlutter with Inferior STEMI?
The differential of a regular narrow QRS tachycardia is sinus tachycardia, SVT, and atrialflutter with regular conduction. There are no P waves preceding the QRS complexes, and no clear flutter waves. But adenosine only lasts for seconds, and if the dysrhythmia recurs, then the adenosine is gone. Adenosine worked.
The patient was given furosemide and admitted to the hospital. There is atrial activity before every QRS, but that activity has negative polarity, so it is not sinus rhythm. The other atrialflutter types are: 1. A bedside POC cardiac ultrasound was done: Findings: Decreased left ventricular systolic function.
Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to general hospital: the EGSYS score. Dysrhythmia, pacer), 4) valvular heart disease, 5) FHx sudden death, 6) volume depletion, 7) persistent abnormal vitals, 8) primary CNS event __ 3) Mendu ML et al. Del Rosso A, et al.
Sinus tach is often misinterpreted as a dysrhythmia. Possible but, again, the QRS morphology is atypical 3) AtrialFlutter with 2:1 conduction and "aberrancy". I do not see flutter wave baseline, and again the QRS morphology is not typical for a supraventricular rhythm. 2) PSVT with "aberrancy" (atypical RBBB+LAFB).
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