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CARDIOLOGY - ECG LIBRARY


Case 35

60F, shocked, thought to be in SVT on batphone. Important features of ECG, Differentials x 5

Expected Response

Features:
Tachycardia rate 150-170
NO P waves visible
Normal axis
Narrow complex QRS 80 ms
QT interval >½ RR interval
Just/almost meets criteria for LVH - largest precordial R+S=45
Lateral and inferior ST depression with variable ~1mm ST elevation in aVR

DDx:
Atrial flutter
AV node re-entrant tachycardia
Atrial Tachycardia
Junctional Tachycardia
AV Re-entrant tachycardia
Self-rate: