Rhythm Nation February 2015

50 yo F pmh ESRD, CHF presents with one day of “feeling bad.” HR 170s, received adenosine for suspected AVNRT and the rate “broke” into this ECG seen below:

 

feb2015 ekg

 

Your only question… what could this rhythm be, and why?

 

Due to the inservice next week, you have until Thursday 2/26 at noon for comments and discussion. Best analysis wins the prize!

 

Many thanks to Joey Freedman, MD for this exciting case.

 

The views expressed on this blog are the author's own and do not reflect the views of their employer. Please read our full disclaimer here. Any references to clinical cases refer to patients treated at a virtual hospital, Janus General Hospital.
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