Atrial Rhythms

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    40 year old female with palpitations.

    40 year old female with palpitations

    Key Findings

    -Short RP narrow complex tachycardia
     

    Coding for Boards

    -Supraventricular tachycardia

    -Nonspecific ST abnormalities

    Answers

    Discussion: The top two most likely mechanisms for this SVT is AVRT and AVNRT of the typical variety. Nonspecific ST changes are almost always present in tachycardias of this type, but don't overcode ischemia.