Calling Timeout For A Heart On A Fast Break

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Calling Timeout For A Heart On A Fast Break - Page #3

Other Studies: - ECG: sinus bradycardia, normal athlete ECG Case Photo #1 - Stress echo: 20 seconds of narrow complex tachycardia (NCT), 250 beats per minute, no symptoms, or ischemic changes on ECG Case Photo #2 ; a short run of wide complex tachycardia (WCT) during recovery Case Photo #3 - Zio patch (4-day): Two short supraventricular tachycardias, maximum heart rate was 188 beats per minute; no symptoms during this time - Cardiac MRI: EF 60%, no evidence of arrhythmogenic right ventricular cardiomyopathy or hypertrophic cardiomyopathy - CT angiogram: Normal coronaries, no anomalous vessels, ventricles grossly normal in size - Repeat stress test: Sprint testing reproduced dyspnea and NCT at 262 beats per minute; Arrhythmia terminated with coughing Case Photo #4 - EP study: Confirmed atypical AV nodal reentrant tachycardia with slow-slow conduction Consultations: Cardiology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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