Atrial tachycardia in a patient with mechanical mitral valve

1 2 94 9 days ago

A young man presents with palpitation and ECG shows narrow QRS tachycardia with the rate of 140 bpm. It is an atrial tachycardia with 2/1 conduction to the ventricle ( red arrows). Adenosine may hep unmask P waves in case of atrial tachycardia. 

  • Fatih Kahraman
    Fatih Kahraman
    QRS also looks like wpw pattern especially in inferior and V4-V6 leads. What do you think about it?
    9 days ago Reply
    • Taylanmd
      Good point. It is because flutter waves are distorting the first part of QRS. If you look at V1, you can easily see P waves and there is no "pre-excitation".
      9 days ago

Last seen:  9 hours ago

cardiologist, electrophysiologist.

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