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Answer for January 7, 2013

 

A "slow" monomorphic (not torsades de point.) Ventricular tachycardia at around 110. There are no P waves to suggest SVT with aberrancy. Flecainide is a classic antiarrhythmic agent with an approximately 15% risk of pro-arrhythmia effect, especially in patients with structural heart disease. Hypokalemia also potentiates pro-arrhythmia, and was the suspect in this case.

NOTE: EKG's are for internal educational purposes of the University of Massachusetts Department of Family Medicine. Please do not forward without permission from Dr. Golding!

 

 

 

January 7 EKG