![]() The point to emphasize is that precise diagnosis of this SVT rhythm was notessential - since regardless of etiology, synchronized cardioversion was deemed necessary at the time the patient was being seen. As is often the case with tachyarrhythmias - precise diagnosis of the rhythm may not be possible at the time one needs to initiate treatment. The BEST way to describe the rhythm in this tracing is as a regular SVT at ~130/minute withoutclear sign of sinus P waves - plus, there is hemodynamic compromise in association with this rhythm (ie, the patient was symptomatic and markedly hypotensive ).
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