50 years old female comes to JIPMER Pondicherry, India, Cardiology department with chief complaints of palpitation two episode over the last four year, last episode was four days back for which patient was hospitalised to private hospital and tachycardia reverted with injection adenosine. Patient was referred to JIPMER cardiology department for Electrophysiological study and further management
ECG during tachycardia (Kindly click on the image to enlarge it)
Description of the ECG=Please do not jump to the diagnosis, first describe the ECG
Narrow complex regular tachycardia with rate around 220 beats per minute, normal axis, No P wave seen so it is a Short RP tachycardia
Diagnosis- Most likely AVNRT
Patient underwent electrophysiological study and found to have dual AV node physiology with slow fast AVNRT. Patient underwent successful radiofrequency ablation.
Approach in a patient with narrow complex tachycardia
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