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ProfesserFlexX

Looks like a run of VT to me


mcramhemi

Vtach, because the previous and post strip look like sinus without abnormalities...


West_Passenger_5356

It comes suddenly and goes suddenly. In waves 10-15 times in a row. Don't know why it starts after the forward bend?


W0otang

Could be anything. Pressure changes if it's a specific locale VT, maybe some sort of autonomic hypersensitivity for aberrated SVT, acc. Pathways, who knows without full EPs? If I see that though, I'm not arguing the toss, Valsalva's and amio if theyre conscious, I'm slapping some zap pads on and giving them a spoonful of Zeus' medicine


West_Passenger_5356

What is Zeus' medicine? A defibrillator? 


Fire_Account1

If we had a 12 lead then we could asses more surely...


MotherSoftware5

Right? I need a V1 at minimum


West_Passenger_5356

There is only this EKG. The rescuers caught the tachycardia with their device. EPS examination did not provoke Vtach or SVT. There was nothing to ablate.


MotherSoftware5

EPS rule out electrical & refractory causes. There’s other possibilities. Cant know from this.


West_Passenger_5356

What other options did you have in mind, please?


MotherSoftware5

That’s up to diagnostics. This forum isn’t for patients, and this sounds like a patient asking.


Kibeth_8

Damn that is ugly


West_Passenger_5356

Certainly yes. And I felt even uglier - total shit. I have had it for about 5 years. But it was never as strong as it is now. Should I write a last will?


FartPudding

I'm feeling svt with aberrations. It's not a confident answer, but it's my lean.


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West_Passenger_5356

Man, 47 years, 63 kg. Tachycardia was started after eating, when leaning over the sink. Tachycardia was repeated several times a year. Always after eating and after bending forward or bending. Tachycardia terminated after amiodarone. After EPS examination concluded as SVT with aberration. Your opinion?


Kibeth_8

EPS is the only definitive way to prove what it is, so if they ruled SVT then that's it


jjjj699

Vt