AV nodal reentrant tachycardia with a 2:1 right bundle branch block missed as bidirectional ventricular tachycardia in the first superficial evaluation-Reference-Cited by-同舟云学术

AV nodal reentrant tachycardia with a 2:1 right bundle branch block missed as bidirectional ventricular tachycardia in the first superficial evaluation

Published:2017-06-01 Issue:2 Volume:55 Page:117-120
ISSN:2501-062X
Container-title:Romanian Journal of Internal Medicine
language:en
Short-container-title:

Author:

Akbarzadeh Mohammad Ali¹,Khaheshi Isa¹,Memaryan Mehdi¹,Mahjoob Mohammad Parsa²,Naderian Mohammadreza³

Affiliation:

1. Cardiovascular Research Center , Modarres Hospital, ShahidBeheshti University of Medical Sciences , Tehran , Iran (Islamic Republic of)

2. Cardiovascular Research Center , ShahidBeheshti University of Medical Sciences , Tehran , Iran (Islamic Republic of)

3. Non-Communicable Diseases Research Center , Endocrinology and Metabolism Population Sciences Institute , Tehran University of Medical Sciences , Tehran , Iran (Islamic Republic of) . Students’ Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran

Abstract

Abstract A 95-year old woman was admitted to our emergency unit because of acute abdominal pain. After urgent surgery according to the acute abdomen, she was referred to intensive care unit (ICU) of the emergency unit as she was intubated. It was developed a run of new arrhythmia which was diagnosed by cardiology resident as bidirectional ventricular tachycardia due to beat to beat changing the axis of the QRS. However, a second and more precise evaluation of the abnormal ECG suggested a narrow supraventricular tachycardia, most probably AV nodal reentrant tachycardia with a 2:1 right bundle branch block.

Publisher

Walter de Gruyter GmbH

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