ECG: Supraventricular Tachycardia

Posted by deel on Sunday, October 19th, 2008 and is filed under Medical Studies. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

SVT is a narrow complex tachycardia (narrow QRS) with HR of 140-250/min.

Symptoms include pounding chest, chest pain, shortness of breath (SOB), dizziness and loss of consciousness.

One has to recognize this ECG and perform immediate management.

Non-pharmacological maneuver:

  1. Vagal stimulation ( effective in 25% of cases)
  2. Valsava maneuver
  3. Cold water immersion

(google it yourself)

Pharmacological :

  1. Adenosine 6mg stat. Follow by 12mg after 5min and another 12mg after 5min (effective in 80%)

**The ECG showed that adenosine (effects that last for about 20s) that stuns the AV node (transient blockade) with widening of the QRS complex for a short period of time before the heart rate returns to normal at the rate of 75 beats perminute with the normal atrial sinus taking back the normal activity**


During treatment(pharmacological):

Post-treatment:

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