This anxious 45-year-old male presents with breathlessness, lightheadedness and a feeling that his heart is beating too fast.
TWELVE-LEAD ELECTROCARDIOGRAM EVALUATION, INCLUDES TRACING.
The P waves were 130/min. The atrial depolarization is consistent with origin at the junction of the high right atrium and superior vena cava. Carotid sinus massage temporarily slowed the heart rate, but it returned to a tachycardic level as soon as the carotid sinus pressure was removed.
A cardiology consultation was recommended to further evaluate his cardiac status.
This question was answered on: Jan 30, 2021
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