ECG Strip 24
A patient (female, 70 years of age) without any medication has been sent for an examination by her general practitioner because of a randomly found arrhythmia. The arrhythmia was confirmed by our ECG that showed regular tachycardia with narrow QRS complexes and with missing P waves. The condition is evaluated as regular supraventricular tachycardia. Beta-blocker is administered without any effect.
The patient was linked to a monitor and we administered 6 milligrams of adenosine to block the atrioventricular transmission for a short time. The intervention is successful as the rhythm suddenly changes to a normal sinus rhythm with heart rate approximately 60 beats per minute. After adding a beta-blocker to chronic medication and ensuring further check-ups in cardiologic ambulance including echocardiography examination, the patient is discharged from the hospital.