A 62 year old female came to JIPMER cardiology OPD with history of acute onset breathlessness along with giddiness 10 days back. Patient went to local government hospital. ECG of the patient was done and following which patient was referred to JIPMER hospital for further management. During evaluation at JIPMER hospital patient pulse was 80 beats per minute, irregular, BP 110/70 mmhg. Patient was a known case of Diabetes mellitus. There was no history of Hypertension, coronary artery diseases. ECG of the patient done at JIPMER hospital is shown below.
ECG (Click on the image to enlarge it)
Description of the ECG- Narrow complex irregular tachycardia at around 160 beats per minute, normal axis, P wave seen, P wave are positive in lead V1, I, PR interval 160 msec, RP interval 200 msec, ST segment depression with T wave inversion present in lead V4-V6, so the diagnosis is atrial tachycardia.
Approach in a patient with narrow complex tachycardia
Thank you.
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