doyoudig
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A 35-year-old woman is brought to the emergency department by her family because of shortness of breath, tightness in her chest, and palpitations for 2 hours. Over the past 11 months,
she has had five similar episodes; during the last episode 3 weeks ago, she was treated with an intravenous medication that caused conversion to sinus rhythm. Her blood pressure is 95/60 mm Hg, and pulse is 165/min and regular. The lungs are clear to auscultation. Which of the following is the most likely underlying dysrhythmia?
A) Accelerated idioventricular rhythm
B) Accelerated junctional rhythm
C) Atrial fibrillation
D) Multifocal atrial tachycardia
E) Normal sinus rhythm
F) Paroxysmal supraventricular tachycardia
G) Premature supraventricular beats
H) Premature ventricular beats
I) Sick sinus syndrome
J) Sinus bradycardia
K) Sinus tachycardia
L) Ventricular fibrillation
M) Ventricular tachycardia
I am btw PSVT and VT but don't know what points in the Hx would tell me that is is PSVT versus VT
Maybe some one can see somthing in the Hx that I don't
Thanks Guys
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| Justice
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(F)...
Could be...
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| arlete
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I think it's F.
Most of the times, VT leads to unstable patient, then it's not cardioverted with IV medication, you go straight to electrical (though it may happen just like described). If it was VT, she would probably be taking medication at home. The age makes you think of a healthy heart, that goes against VT.
That's all I can think of.
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