Quote:
Originally Posted by DocIllinois
The R-on-T of the ECG has rattled the cobweb cage of school knowledge, bringing back the image of a paroxysmal SVT. The low BP and lack of alertness are S&S, but usually more abrupt and episodic.
Is it possible for a paroxysmal ventricular tachycardia patient to exhibit these over such a time?  |
I'm no cardiologist Doc, but I did sleep at a Holiday Inn Express, and I'm sticking with AF. If memory serves VT ECGs show a fusion of the QRS - T wave complex. Also broadening of the QRS complex. We see a T-wave here (not pretty) but may be a function of the conditions (2 lead ecg) field conditions, patient moving, etc. Also, I think the rhythm in VT is regular and faster. This patients rhythm is irregular. No broadening of the QRS. All things considered and the absent P wave -just MO - this is more consistent with AF than VT.
Final point: IF this were VT the ambulance run would be to pick up a body.
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