<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>A 95-year old woman was admitted to our emergency unit because of acute abdominal pain. After urgent surgery according to the acute abdomen, she was referred to intensive care unit (ICU) of the emergency unit as she was intubated. It was developed a run of new arrhythmia which was diagnosed by cardiology resident as bidirectional ventricular tachycardia due to beat to beat changing the axis of the QRS. However, a second and more precise evaluation of the abnormal ECG suggested a narrow supraventricular tachycardia, most probably AV nodal reentrant tachycardia with a 2:1 right bundle branch block.</p>
</abstract>

A 95-year old woman was admitted to our emergency unit because of acute abdominal pain. After urgent surgery according to the acute abdomen, she was referred to intensive care unit (ICU) of the emergency unit as she was intubated. It was developed a run of new arrhythmia which was diagnosed by cardiology resident as bidirectional ventricular tachycardia due to beat to beat changing the axis of the QRS. However, a second and more precise evaluation of the abnormal ECG suggested a narrow supraventricular tachycardia, most probably AV nodal reentrant tachycardia with a 2:1 right bundle branch block.

AV nodal reentrant tachycardia with a 2:1 right bundle branch block missed as bidirectional ventricular tachycardia in the first superficial evaluation

ShahidBeheshti University of Medical Sciences

Non-Communicable Diseases Research Center

Romanian Journal of Internal Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

A 95-year old woman was admitted to our emergency unit because of acute abdominal pain. After urgent surgery according to the acute abdomen, she was referred...

AV nodal reentrant tachycardia with a 2:1 right bundle branch block missed as bidirectional ventricular tachycardia in the first superficial evaluation

Published Online: Jun 06, 2017

Page range: 117 - 120

Received: Dec 16, 2016

DOI: https://doi.org/10.1515/rjim-2017-0008

Keywords
Electrocardiogram, Bidirectional ventricular tachycardia, Supraventricular tachycardia, Atrioventricular nodal reentry tachycardia, Bundle branch block

© 2017 Mohammad Ali Akbarzadeh et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

AV nodal reentrant tachycardia with a 2:1 right bundle branch block missed as bidirectional ventricular tachycardia in the first superficial evaluation

Published Online: Jun 06, 2017

Page range: 117 - 120

Received: Dec 16, 2016

DOI: https://doi.org/10.1515/rjim-2017-0008

KeywordsElectrocardiogram, Bidirectional ventricular tachycardia, Supraventricular tachycardia, Atrioventricular nodal reentry tachycardia, Bundle branch block

© 2017 Mohammad Ali Akbarzadeh et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
Electrocardiogram, Bidirectional ventricular tachycardia, Supraventricular tachycardia, Atrioventricular nodal reentry tachycardia, Bundle branch block