Narrow Complex Tachycardia; Roadside to Resus
The Resus Room
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Defining the Underlying Arhythmia in a Patient With Wolf Parkinson White
Patients with wolf parkinson white, or ventricular pre excitation and attacki cardia have very rapid heart rates of over 200 beats per minute. In this situation, activation of the ventricles is predominantly via the accessory pathway. Because of that, we see an irregularly irregular rhythm with a widened and bizarre c r s complex because it's taking an alternative route. But sometimes, at these extremely rapid rates, it can be really difficult to tell what is regular and what's irregular, can't it? And i think the best way i've found to distinguish this is to lay a piece of paper on top of the e c g, and place a little mark next to every
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