60 yr female, k/c/o hypertension and asthma. Please discuss the ECG lead II attached

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Its MAT. Multifocal atrial tachycardia (MAT) is a cardiac arrhythmia caused by multiple sites of competing atrial activity. It is characterized by an irregular atrial rate greater than 100 beats per minute (bpm). Atrial activity is well organized, with at least 3 morphologically distinct P waves, irregular P-P intervals, and an isoelectric baseline between the P waves. Seen usually in longstanding pulmonary diseases like copd. asthma. treatment depends on the cause, and then we can treat it with many pharmacological agents like dilzem group, beta blockers, amiodarone or even Dc cardioversion if needed.

It's a case of paroxysmal atrial tachycardia...

Arrhythmia,MAT, PVC occasionally.

It's NOT MAT, if u analyse the rhythm strip carefully, their are Grouped Beats....with p wave merging into preceding T wave... s/o Pre Mature Atrial Ectopics In MAT, their should be No Grouped beats

Pl post all 12 leads we can't opine on a single lead .This strip reveals vpbs

it's multifocal atrial tachycardia,

Irregular rhythm with rate >100, varying P morphology ,occasional noncoducted P , isoelectric baseline suggestive of MAT .

multifocal atrial tachycardia.advice b blocker,amiodarone or even cardioversion

Multiple atrial tachycardia - MAT. So many different morphologies of P wave.

paroxyamal atrial tachycardia

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