McGill Case 89: Difference between revisions

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McGill Case 89 (view source)

Revision as of 04:33, 15 February 2012

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(Created page with "{{McGillcase| |previouspage= McGill Case 88 |previousname= McGill Case 88 |nextpage= McGill Case 90 |nextname= McGill Case 90 }} [[File:E000789.jpg|thumb|600px|left|This is a...")
 
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[[File:E000789.jpg|thumb|600px|left|This is an electrocardiogram from an elderly woman with palpitations.
[[File:E0007891.jpg|thumb|600px|left|70 year old patient, previous myocardial infarction, on a beta-blocker, presents with the rhythm below. No response to adenosine or to verapamil IV.]]
The cardiogram shows a wide complex tachycardia with a left bundle branch morphology at a rate of about 160/min. The R wave in V2 is broad and the time from the beginning of the QRS in V2 to the peak of the S wave is longer than 80 ms. No P wave activity is clearly seen. The cardiogram suggests ventricular tachycardia. The patient has done well since this cardiogram on flecainide and metoprolol.]]
 
[[File:E0007892.jpg|thumb|600px|left|After cardioversion.]]
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