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Supraventricular Tachycardia
We see here a rapid and regular rhythm, with normal QRS complexes.
The R-R interval is 0.33 seconds, giving a rate of 181. The baseline
is
irregular, which could suggest atrial fibrillation,
but the R-R intervals
are completely regular, which rules out AF. In fact, the baseline irregularity
is an artifact due to tremor. There are suggestions of P waves in I and II
which seem normal, but they are inverted in III. This indicates that a
non-sinus atrial focus is pacing this heart. Thus, the rhythm is called
supraventricular tachycardia.