Wednesday, 31 October 2012

42 year old female with a 4 month history of palpitation episodes.

This is an 42 year old female with a 4 month history of palpitation episodes with fast AF... Here you will see five ECG's captured from the patient... The patient is aware of these attacks happening and puts herself in the supine position and it reverts then back to NSR. 

Over the last 24 hrs the patient is having multiple attacks and each time it reverts by itself by lying supine. You can see the patients first blood pressure on the first strip recorded.

Today is the first time the patient as felt SOB with these attacks... Lungs sounds (clear) bilateral equal breath sounds, and spO2 was 96% on air... P/t was also looking well perfused (pink)

PMH: AF and back problems only.

1) What's your interpretation of these ECG's (please refer which ECG you are talking about... ie 1,2,3,4,5,)?
2) Why does this fast AF revert after lying supine?
3) How would you treat this patient? 




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