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Admission and referral to electrophysiology is always indicated. In this case, it was able to conduct at a rate of 257 (down the AV node, then up the bypass tract) 6. These tachydysrhythmias are so fast that they can degenerate into ventricular fibrillation. Unrecognized paroxysmal supraventricular tachycardia.
The absence of any wall motion abnormality makes ischemic cardiomyopathy very unlikely. Patient course The patient was started on beta blockers and schedule for an electrophysiologic study. The new onset cardiomyopathy was thought to be due to both drug/alcohol use and to Tachycardia-Induced Cardiomyopathy.
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