Concluded Case

NODAL TACHYCARDIA

A 32 years old male patient, complaining with chest pain. Severe pain in the left side of chest č congestion at xiphoid region. O/E BP 70/ 50mm Hg Pulse 196 bpm Chest B/L clear Abdo. Soft R/R 34 Spo2 84% Other vitals findings are normal. Suggest investigation CBC Serum. Cholesterol Serum. Electrolytes Trop - T Thyroid profile ECG ECHO What will be the best management ?

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Concluded answer

Hypoxia Xray chest Sinus tachycardia Rt PCR clia Lateral st depression Ecg 2 decho Tropi &t

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Hypoxia Xray chest Sinus tachycardia Rt PCR clia Lateral st depression Ecg 2 decho Tropi &t

NEED'S.. CXR.. 2D ECHO STUDY.. CARDIAC PROFILE.. RT..PCR..COVID-19.. HOSPITALIZATION.. O2 .. ADENOSINE .. SYMPTOMATIC T/T.. LIFE SUPPORTIVE MEASURES..

Ad R T. PCR for COVID 19 infection O2 inhalation Inj Mephentine or Dopamine drip to maintain B P Inj Fortwin 1 Amp I v stat

Svt. Withy hyperkalemia feature. Vasovagal maneuvre Adenosine

अर्जुन की छाल को यवकुट करें और 10 ग्राम लेकर एक कप पानी में उबालकर छानकर सुबह खाली पेट सेवन कराएं। लहसुन की 4 कली सुबह शाम जल से सेवन कराएं। योग परिक्षित है।

Svt Nodal tachycardia AVNRT

Atrioventricular nodal reentry tachycardia (AVNRT) Atrioventricular nodal reentry tachycardia (AVNRT) is the most common type of supraventricular tachycardia. Episodes often start and end suddenly, and occur because of a reentrant circuit  also called an accessory pathway  located in or near the AV node that causes the heart to beat prematurely. AVNRT tends to occur more often in young women, but it can affect both males and females of any age. Diagnosis Tests and procedures used to diagnose atrioventricular nodal reentry tachycardia may include: Blood tests�to check thyroid function, heart disease or other conditions that may trigger atrioventricular nodal reentry tachycardia Electrocardiogram (ECG)�to measure the electrical activity of your heart and measure the timing and duration of each heartbeat Holter monitor, which is a portable ECG device designed to record your heart's activity as you go about your routine Echocardiogram,�which uses sound waves to produce images of your heart's size, structure and motion Stress test,�which is typically done on a treadmill or stationary bicycle while your heart activity is monitored Electrophysiological testing and mapping,�which allows your doctor to see the precise location of the irregular heartbeat (arrhythmia Treatment Most people with atrioventricular nodal reentry tachycardia do not require medical treatment. However, if you experience prolonged or frequent episodes, you may recommend or try: Vagal maneuvers.�You may be able to stop an episode of AVNRT by using particular maneuvers that include holding your breath and straining, dunking your face in ice water, or coughing. Cardioversion.�If you're unable to stop an episode on your own using vagal maneuvers, your doctor may use cardioversion, which can be conducted as a procedure or by using medications. Medications.�If you experience frequent episodes of AVNRT, your doctor may prescribe medication to control your heart rate or restore a normal heart rhythm. Catheter ablation.�In this procedure, your doctor threads one or more catheters through your blood vessels to your heart. Electrodes at the catheter tips can use heat, extreme cold or radiofrequency energy to damage (ablate) a small spot of heart tissue and create an electrical block along the pathway that's causing your arrhythmia.

Svt. Nodal tachycardia. Avnrt. Hospitalization.

SVT Inj.Adnosine 6 mg IV bolus If no response 12 mg IV bolus If not reverted back then DC Shock

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