Clinical introduction An 84-year-old woman presented with palpitations. Her past medical history included tissue aortic valve replacement and coronary artery bypass, left ventricular impairment and bronchiectasis. An ECG is shown in Figure 1A. She was diagnosed with supraventricular tachycardia.
Adenosine 12 mg intravenously failed to restore sinus rhythm, even though she experienced the usual side effects of flushing and bronchoconstriction. She was then electrically cardioverted: ECG postcardioversion is shown in Figure 1B.
Question Which is the most likely diagnosis?
A Atrial flutter
B Atrioventricular nodal re-entrant tachycardia
C Bundle branch re-entrant ventricular tachycardia (VT)
D Fasicular VT
E Right ventricular outflow tract (RVOT) VT
- Ventricular tachycardia
- Cardiac arrhythmias and resuscitation science
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.