ecg of a patient with continuous 7 month history of skipped beat

A 25 year old female, with continous on and off feeling of skipped beat from past 7 months. The symptom has been happening continuosly. Holter was done but that day she was less symptomatic, kindly assess this current ecg attached. (Even her last ecg 3 months back showed baseline fibrillations like this ecg a and around 119-120 ms of PR interval)

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Can u go on detail hx about marriage life and any precepitating factors which r giving acute stress? It has started at the age of 25, may b marriage short life. Medicines r betablocker.

Sir she is unmarried, in stress I can say academic stresses are there but they are off and on , but her symptoms are continuous
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Sinus Tachycardia Sinus tachycardia is a regular non-reentrant tachycardia with sinus P waves. As with sinus bradycardia, 8-5 presents age-specific ranges of “normal” heart rates. In infants and children, sinus tachycardia generally does not exceed 230 beats per minute. Sinus tachycardia may indicate fever, hypovolemia, hypoxia, pain, hypercarbia, or myocardial failure. An unusual pathologic form of sinus tachycardia known as inappropriate sinus tachycardia may occur in teenage females. Also, sinus tachycardia may be present in a group of disorders collectively known as postural orthostatic tachycardia syndrome. T‐wave abnormalities are common during the acute phase of non‐ST‐segment elevation acute coronary syndromes, but mechanisms underlying their occurrence are unclear. We hypothesized that T‐wave abnormalities in the presentation of non‐ST‐segment elevation acute coronary syndromes correspond to the presence of myocardial edema. sinus tachycardia Inappropriate sinus tachycardia Takeaway Sinus tachycardia refers to a faster-than-usual heart rhythm. Your heart has a natural pacemaker called the sinus node, which generates electrical impulses that move through your heart muscle and cause it to contract, or beat. When these electrical impulses are transmitted normally, it’s referred to as normal sinus rhythm. Normal sinus rhythm typically results in a heart rate of 60 to 100 beats per minute. Sometimes, these electrical impulses are sent out faster than normal, causing sinus tachycardia, which often results in a heart rate of over 100 beats per minute. sinus tachycardia Other things that can cause sinus tachycardia include: anxiety or emotional distress fever some medications stimulants, such as caffeine or nicotine recreational drugs, such as cocaine Treatment IST is often hard to treat since its causes aren’t fully understood. Depending on how fast your heart rate is, your doctor might prescribe beta-blockers or calcium channel blockers to lower your heart rate. You may also need to make some lifestyle changes, such as avoiding things that could cause an increase in heart rate, such as stimulants, recreational drugs, or stressful situations eating a heart-healthy diet exercising maintaining a healthy weight In severe cases that don’t respond to medication or lifestyle changes, you may need a cardiac ablation procedure. This involves using energy to destroy a tiny part of the heart tissue located in the area that’s causing tachycardia. mediation:-. It's the ingredient in the medicine that treats a symptom, along with the type of medication it is, like “antihistamine” or “pain reliever.” It also tells you how much of the drug is in each dose.mayocadium edema, antibiotics, anti-diuretic

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