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    Avnrt Avrt

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    Rima Rovanne Wenas
    This document provides ECG examples and descriptions of various cardiac arrhythmias including: - Atrial tachycardia showing a long RP interval - Atrial fibrillation characterized by irregular rhythm and absence of P waves - AVNRT with retrograde P waves at the QRS-ST junction - Wolff-Parkinson-White syndrome with a short PR interval and delta wave - Antidromic AVRT with a wide bizarre QRS morphology - WPW with atrial fibrillation showing extremely rapid pre-excited QRS complexes

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    Avnrt Avrt

    Uploaded by

    Rima Rovanne Wenas
    154 views21 pages
    This document provides ECG examples and descriptions of various cardiac arrhythmias including: - Atrial tachycardia showing a long RP interval - Atrial fibrillation characterized by irregular rhythm and absence of P waves - AVNRT with retrograde P waves at the QRS-ST junction - Wolff-Parkinson-White syndrome with a short PR interval and delta wave - Antidromic AVRT with a wide bizarre QRS morphology - WPW with atrial fibrillation showing extremely rapid pre-excited QRS complexes

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    Original Title

    AVNRT-AVRT

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    This document provides ECG examples and descriptions of various cardiac arrhythmias including: - Atrial tachycardia showing a long RP interval - Atrial fibrillation characterized by irregular rhythm and absence of P waves - AVNRT with retrograde P waves at the QRS-ST junction - Wolff-Parkinson-White syndrome with a short PR interval and delta wave - Antidromic AVRT with a wide bizarre QRS morphology - WPW with atrial fibrillation showing extremely rapid pre-excited QRS complexes

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    154 views21 pages

    Avnrt Avrt

    Uploaded by

    Rima Rovanne Wenas
    This document provides ECG examples and descriptions of various cardiac arrhythmias including: - Atrial tachycardia showing a long RP interval - Atrial fibrillation characterized by irregular rhythm and absence of P waves - AVNRT with retrograde P waves at the QRS-ST junction - Wolff-Parkinson-White syndrome with a short PR interval and delta wave - Antidromic AVRT with a wide bizarre QRS morphology - WPW with atrial fibrillation showing extremely rapid pre-excited QRS complexes

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 21

    AVNRT-AVRT

    Atrial Tachycardia

    Atrial activity is most prominent in lead V1. Note that the P wave is closer to the next QRS
    complex than the previous QRS complex; a socalled “long-RP tachycardia.
    Atrial Fibrilation

    Characteristic findings are the absence of P waves, with disorganized electrical activity in
    their place, and irregular R-R intervals due to irregular conduction of impulses to the
    ventricles.[1] At very fast heart rates (400- 600 bpm) atrial fibrillation may look more
    regular which may make it more difficult to separate from SVT or ventricular tachycardia
    AVNRT

    Atrioventricular nodal reentrant tachycardia (AVNRT) is a common arrhythmia,


    comprising approx 60% of cases of PSVT. Retrograde P waves are evident as deflections at the
    junction of the QRS complex and ST segment. Pseudo S waves are evident in leads II, III, and
    aVF, while pseudo R′ waves are seen in aVR and V1. narrow QRS complex with a rate between
    130 and 240 beats per minute (BPM).
    Wolf Parkinson White

    ECG in a patient with WPW. Note the short PR interval and delta wave reflective of ventricular
    pre-excitation. In this case, the pathway is right septal.
    Antidromic AVRT

    QRS morphology is wide and bizarre, an exaggeration of the delta wave seen during sinus
    rhythm. Retrograde atrial activation is via the AV node, and is not evident in this tracing.
    WPW + AF

    ECG in a patient with WPW who presented after a syncopal spell. AF is present, with
    extremely rapid pre-excited QRS complexes. Cardiac arrest occurred moments after this
    ECG was recorded. The patient was successfully resuscitated, and underwent successful
    catheter ablation of a left septal pathway.
    Atypical AVNRT

    Note the deeply inverted P waves relatively close to the next QRS complex, a so-called
    “long RP” tachycardia
    Typical Atrial Flutter

    Common atrial flutter with characteristic negative “sawtooth” flutter waves in leads II, III,
    and AVF and positive flutter waves in V1. Atrial rate is 280/min with variable conduction
    to the ventricle
    Ventricle Premature Contraction

    frequent PVCs in a pattern of ventricular bigeminy


    NS Torsades de Pointes pada LQTS

    Torsades de pointes PVT in a patient with acquired LQTS caused by quinidine therapy. Note
    the recurrent paroxysms of NSVT following “long-short” sequences
    Monomorphic VT

    Monomorphic NSVT in a patient with underlying nonischemic cardiomyopathy and AF. Note
    that the PVC that initiates NSVT has a different morphology than the subsequent salvo of NSVT
    Polymorphic VT

    Polymorphic NSVT in a patient with acute MI. Although the morphology is suggestive of
    torsades, marked QT prolongation is absent. The etiology was believed to be acute ischemia.
    Brugada syndrome
    STEMI Inferior + VF
    VT during Exercise

    Young athlete with palpitations during exercise. Work-up was negative for structural heart
    disease. During a treadmill exercise test, this rhythm was recorded. VT seemed to be triggered
    by sinus rates above 160 BPM. The patient was treated with a beta-blocker, and was unable to
    achieve this sinus rate. He has done well, without symptomatic VT recurrences
    RBBB + LPHB
    WPW
    Accessory Pathway

    Pre-excitation WPW Orthrodromic Antidromic

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