A 4 year child was undergoing neurosurgery procedure for the removal of intracranial tumor under general anaesthesia at JIPMER Hospital, Pondicherry, India, suddenly patient develop tachycardia during the surgery.Procedure was suspended and 12 lead ECG was taken so what is your diagnosis?
Descrpition of the ECG=Narrow complex regular tachycardia at rate around 220 per minute, right axis deviation, visible positive P wave seen in lead 2,3,avf, no significant ST-T wave changes, RP interval around 160 msec, PR interval 120msec
Diagnosis=PSVT , Long RP tachycardia
Approach in a patient with Narrow complex regular tachycardia
Differential Diagnosis= Atrial tachycardia, Atypical AVNRT
No comments:
Post a Comment