Long RP tachycardia


A 50 yr old pt with LLQ pain and found to have a renal stone. 

What are the probable rhythm diagnosis?



The probable ECG interpretations are:
  • Atrial tachycardia
  • Atypical AV nodal reentry tachycardia (AVNRT) - fast-slow or fast antegrade and slow retrograde pathway.
  • Paroxysmal junctional reciprocating tachycardia - AV conduction over the AV node and the ventriculo-atrial conduction over a slowly conducting accessory pathway.





References:

Kistlet et al. 2006. P-wave Morhology in AT. JACC 48

Kumar UN et al. 2006. The 12L Electrocardiogram in Supraventricular Tachycardia. Cardiology Clinics ;24: 427-437

Wellens HJ. 1996. The Value of the ECG in the Diagnosis of SVT. EHJ 17:10-20 http://eurheartj.oxfordjournals.org/content/17/suppl_C/10.full.pdf


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