Rhythm Nation December 2014

47 year-old female with past medical history of depression and supraventricular tachycardia, brought in by EMS with altered mental status and found with empty pill bottles nearby.   What is the interpretation of this ECG?   What likely happened to this patient?   How do you treat it?   Best answer Read more…

Rhythm Nation November 2014 Answer!

Excellent answer by Dr. Kylie Birnbaum! This patient indeed has a supraventricular tachycardia (SVT), and indeed was found to have fast-slow atrioventricular nodal re-entrant tachycardia (AVNRT) on later electrophysiologic study. In the ED at Janus General, however, vagal maneuvers failed and 6mg of Adenosine was ordered. Just prior to administration Read more…