VT in a pacemaker patient

Soumis par marc.strik le
Type de tracés
ECG
Prothèse
PM
Constructeur
Abbott

88 year old patient known with severe aortic stenosis and a Saint Jude Assurity VVI-R pacemaker, was admitted to the coroanry care unit with respiratory insufficiency because of left-sided pneumonia.

He developed a monomorphic ventricular tachycardia which which was poorly tolerated but he remained concious with a blood pressure of 130 over 80 mmHg.

What is happening in this tracing?

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Soumis par marc.strik le dim 29/01/2017 - 20:59

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IIndeed ATP. The tracing shows three rhythms: 1) a monomorphic VT around 150 bpm, and then 2) temporary pacing at 170 bpm (which can be considered as "manual ATP") which terminates the VT, followed by 3) a pacemaker rhythm at the end of the tracing.