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[[Image:Atrial_ventricular.png|thumb|300px|Arrhythmias can be subdivided into supraventricular, nodal and ventricular arrhythmias]] | [[Image:Atrial_ventricular.png|thumb|300px|Arrhythmias can be subdivided into supraventricular, nodal and ventricular arrhythmias]] | ||
Arrhythmias (non-normal heart rhythms) can be a challenge to understand, but with a systematic approach, diagnosis is often less difficult than it may appear at first. | Arrhythmias (non-normal heart rhythms) can be a challenge to understand, but with a systematic approach, diagnosis is often less difficult than it may appear at first. | ||
A good stepwise approach to interpret the heart rhythm is to follow these steps: | A good stepwise approach to interpret the heart rhythm is to follow these steps: | ||
*Is this my patient's ECG or is this an artifact? (applies especially in stressfull situations) | *Is this my patient's ECG or is this an artifact? (applies especially in stressfull situations) | ||
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** A wide complex tachycardia in a 24-year-old woman with recurrent spells of tachycardia that respond to vagal maneuvers is most likely an [[AVNRT]] with aberrant conduction. | ** A wide complex tachycardia in a 24-year-old woman with recurrent spells of tachycardia that respond to vagal maneuvers is most likely an [[AVNRT]] with aberrant conduction. | ||
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==References== | ==References== | ||
<biblio> | <biblio> |