Junctional Tachycardia

Case 15: A 46-Year-Old Man in the Emergency Department

Case 15: A 46-Year-Old Man in the Emergency Department History Diagnosis History A 46-year-old-man is presenting to the emergency department: Diagnosis Junctional tachycardia, 116/min Criteria for the diagnosis of Junctional Tachycardia in this case: There is narrow QRS tachycardia, with moderately rapid rate. P waves follow the QRS complexes closely and are inverted in the inferior leads. …

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Case 48: A 69-Year-Old Woman Seen in the EP Clinic

Case 48: A 69-Year-Old Woman Seen in the EP Clinic History Diagnosis History A 69-year-old woman suffering from episodes of very rapid irregular palpitation for several months, lasting a few hours is presenting to the Electrophysiology Clinic on the referral of the family doctor who suspected episodes of paroxysmal atrial fibrillation and started her on digoxin. This ECG …

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Case 86: A 45-Year-Old Man with No Fixed Address

Case 86: A 45-Year-Old Man with No Fixed Address History Diagnosis History A 45-year-old man with no fixed address and no available medical records presents to the emergency department with a decreased level of consciousness:  Diagnosis Junctional tachycardia, 119/min The relatively slower rate in this case helps to differentiate automatic junctional tachycardia from AV Nodal …

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Case 108: A 66-Year-Old Man Admitted to the Cardiac Ward

Case 108: A 66-Year-Old Man Admitted to the Cardiac Ward History Diagnosis History A 66-year-old man is admitted for investigation of angina. 5 weeks earlier he had been in another hospital with an acute myocardial infarction. After discharge he complains of frequent angina on mild to moderate exercise: Diagnosis Junctional tachycardia, 110/min Left anterior fascicular …

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