A pt with h/o of
HTN, dyslipidemia and CAD is scheduled for surgery. Pt is asymptomatic and echo
showed EF in the 60's.
Figure 1
This is a regular
narrow complex rhythm at a rate of about 75 (1500/20 small squares). P waves
are inverted in II, III and aVF and seen (almost) after the QRS complex. This
is accelerated junctional rhythm.
This is one of the longest times that I have seen a pt has stayed in junctional
rhythm. Typically they go to junctional rhythm and then the sinus beats
eventually captures the ventricles.
Figure 2
For this case,
surgery went well and discharged after a few days.
#414
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