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SVT or junc tachycardia   Message List  
Reply | Forward Message #12325 of 12593 |
Re: [ekg_club] Re: SVT or junc tachycardia

Only because I know someone has the answer...  Where did the rate of 150 come to be the determinant between "SVT" and non?  Why don't all monitors allow the user to print at a faster speed and have trained interpreters be able to interpret the rhythm?
 
I know, two (or three) different questions.  :)
 
 
 
Jon Kavanagh


Tue Jul 14, 2009 11:07 am

misafetytrainer
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Message #12325 of 12593 |
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This is a woman come in ewith plapitation and normal BP. Canon A wave was seen. No P wave can be seen.Rate is less than 150. R wave in Avr lead. No retrograde...
ltongtaa
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Jul 14, 2009
7:35 am

Just to clarify, SVT is an umbrella term for all non-ventricular tachycardias. So the right question is, "What kind of SVT is this?" Tom Sent from my iPhone...
Tom Bouthillet
code3insc
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Jul 14, 2009
9:51 am
Wouldn't Ü like ...
treborcline
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Jul 14, 2009
10:25 am

Says who? Or by SVT do you mean a reentrant tachycardia specifically? Tom Sent from my iPhone On Jul 14, 2009, at 6:25 AM, Wouldn't Ü like to know...
Tom Bouthillet
code3insc
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Jul 14, 2009
10:40 am

Only because I know someone has the answer...? Where did the rate of 150 come to be the determinant between "SVT" and non?? Why don't all monitors allow the...
kavinin@...
misafetytrainer
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Jul 14, 2009
11:07 am

That is a horrible EMS myth, Jon. I've reviewed cases where Adenocard was given to sinus tachycardia, simply because it was 160 bpm and "couldn't have been...
Tom Bouthillet
code3insc
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Jul 14, 2009
11:37 am

Tom: My point is clarified here and in the other posts.? SVT is a largely non-specific term (vs VT) for rhythms with a rate at or above 150, when, really,...
kavinin@...
misafetytrainer
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Jul 15, 2009
4:12 pm

a few things, using heart rate alone is not a good way to make an ecg dx, think about a "nornal" stress test, a 20y old would be expected to hit 200bpm (sinus)...
PMATERAMD@...
pmateramd
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Jul 14, 2009
1:40 pm

Hi all   This is SVT and that's all. I don't know why you are negotiating and wasting your time? HAVAL LUTFALLA ... From: ltongtaa <ltongtaa@...> ...
haval surchi
havalandonly...
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Jul 14, 2009
12:11 pm

What kind of SVT is it, Haval Lutfalla? Sinus tachycardia? AF w/RVR? AVNRT? AVRT? Junctional tach? Calling it SVT only points toward a group of abnormal heart...
Tom Bouthillet
code3insc
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Jul 14, 2009
12:33 pm

Chill out all we are on the same side :-). It is important to label things correctly because when you for example say VT everyone knows what you mean, can draw...
PMATERAMD@...
pmateramd
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Jul 14, 2009
2:51 pm

  Sorry for my quick typing before.   I know SVT is a large pool of all kind include the junctional tachycardia.  No P wave: not sinus tachycardiaof course...
suthaporn lumlertgul
ltongtaa
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Jul 14, 2009
3:26 pm

I will come out of "lurker mode" and give my two cents on this one. I would go with junctional tach for a couple of reasons. First, the rate is such that if P...
Robert Vroman
scooby_437
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Jul 14, 2009
4:06 pm

Robert just to chime in the heart rate thing. 220 - age * 0.85 is the normal "expected" heart rate for someone during exercise. I've seen it be much lower (if...
Nikiah Nudell
mtparamednick
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Jul 14, 2009
4:32 pm

Robert Vroman wrote: <snip> "As far as the subsequent discussion of rates goes, my understanding is that the category of SVT is not really considered until the...
Tom Bouthillet
code3insc
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Jul 14, 2009
5:07 pm

"Once you accept that sinus tachycardia is a form of SVT, this view is no longer tenable." This of course may be semantics and the opinions of various people,...
Robert Vroman
scooby_437
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Jul 14, 2009
5:44 pm

Yes, it does usually cause a distortion of some kind in the preceding T-wave, but if they're all identical (1:1 relationship to the QRS/T) then it's hard to...
Tom Bouthillet
code3insc
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Jul 14, 2009
5:54 pm

Tom- It is hard to get people to understand that, it is far easier to accept the easy term than to read the fine print. ===================================== ...
Russell Stine
rj.stine
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Jul 14, 2009
5:50 pm
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