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ECG Exercise 7 -  Narrow Complex Tachycardias
ECG Exercise 7 -  Narrow Complex Tachycardias

ECG Exercise 7 - Narrow Complex Tachycardias

Last updated 10/9/24

Learning Objectives

  1. Define sinus rhythm on ECG
  2. Generate a differential diagnosis for tachyarrhythmias
  3. Interpret ECGs

For desktop users, click on ECG for full-size

ECG 1

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What is the rhythm?

Differential Diagnosis of Tachycardias

The differential diagnosis can be sub-divided by QRS width and rhythm “regularity”

QRS Width

Narrow (≤120ms)

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Wide( ≥ 120ms)

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Regularity

Regular (constant R-R intervals)

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Irregular (variable R-R intervals)

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🧠

Memorize the following table

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ECG 2

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Sinus rhythm?
‣
Differential diagnosis based on QRS width and regularity?
‣
Most likely diagnosis?
‣
Summary
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Source ECG 758

ECG 3

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‣
Sinus rhythm?
‣
Differential diagnosis based on QRS width and regularity?
‣
Most likely diagnosis?
‣
Summary
‣
Source ECG 803

ECG 4

image
‣
Sinus rhythm?
‣
Differential diagnosis based on QRS width and regularity?
‣
Most likely diagnosis?
‣
Summary
‣
Source ECG 686

ECG 5

image
‣
Sinus rhythm?
‣
Differential diagnosis based on QRS width and regularity?
‣
Most likely diagnosis?
‣
Summary
‣
Source 744

ECG 6

image
‣
Sinus rhythm?
‣
Differential diagnosis based on QRS width and regularity?
‣
Most likely diagnosis?
‣
Summary
‣
Source 764

ECG 7

image
‣
Sinus rhythm?
‣
Most likely diagnosis?
‣
Summary

Source: LITFL.com

ECG 8

image
‣
Sinus rhythm?
‣
Most likely diagnosis?
‣
Source ECG 756

ECG 9

image
‣
Sinus rhythm?
‣
Most likely diagnosis?
‣
Source ECG 82

ECG 10

image
‣
Sinus rhythm?
‣
Most likely diagnosis?
‣
Source 82

ECG 11

image
‣
Sinus rhythm?
‣
Most likely diagnosis?
‣
Source ECG 742

ECG 12

image
‣
Sinus rhythm?
‣
Most likely diagnosis?
‣
Source ECG 1008

ECG 13

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‣
Sinus rhythm?
‣
Most likely diagnosis?
‣
Source ECG 417

ECG 14

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‣
Sinus rhythm?
‣
Most likely diagnosis?
‣
Source 651

ECG 15

image
‣
Sinus rhythm?
‣
Most likely diagnosis?
‣
Source ECG 895

ECG 16

image
‣
Sinus rhythm?
‣
Most likely diagnosis?
‣
Source ECG 685

ECG 17

image
‣
Sinus rhythm?
‣
Most likely diagnosis?
‣
Source ECG 133

ECG 18

image
‣
Sinus rhythm?
‣
Most likely diagnosis?
‣
Source ECG 677

ECG 19

image
‣
Sinus rhythm?
‣
Most likely diagnosis?
‣
Source 651
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Additional information: history of CHF and atrial fibrillation

‣
Sinus rhythm?
‣
Most likely diagnosis?

Source: Nathanson LA, McClennen S, Safran C, Goldberger AL. ECG Wave-Maven: Self-Assessment Program for Students and Clinicians. http://ecg.bidmc.harvard.edu.

This post is for education and not medical advice.

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