Atrial Rhythms

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    68 year old female with heart palpatations.

    68 year old male with heart palpitations.

    Questions

    Question 1: What are some options for acute treatment of this patient? 

    Question 2: What is likely the type of SVT in this patient?

    Key Findings

    -SVT

    Coding for Boards

    -Supraventricular tachycardia

    Answers

    Question 1: Vagal Maneuvers, Cartoid Massage, and IV Adenosine.

    Question 2:  Based on the short RP interval (Inverted P waves seen just after the ORS in leads II and V1) this is likely AVNRT.