ECG Case 5

Question 1

HPC: 28 year old female presents to A+E with acute onset palpations. Came on suddenly 2 hours ago. No CP, or dizziness but some associated mild SOB.

BG: Coeliac

O/E:
Obs: RR 16, Sats 96% (OA), HR 180, BP 122/78, Temp 36.5

CVS: HS I+II+O, CRT <2, Pulse 180

Resp: Chest clear

Answer 1

-

Question 2

This is her ECG. What are the main findings seen?

Answer 2

• narrow complex tachycardia
• no P waves

Question 3

what is the dx?

Answer 3

SVT (AVNRT)

Question 4

how would you manage this pt? (initial / long term)

Answer 4

initial:

• vagal maneuvres
• adenosine

long-term:

• beta-blockers (prophylaxis)
• ablation

Question 5

what are the DVLA restrictions, if any?

Answer 5

4 weeks no driving