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ECG findings in re-entrant tachycardias

Authoring team

The rhythm is regular and the rate is between 130 and 250 beats per minute.

The QRS complex is narrow unless:

  • there is rate-related bundle branch block
  • there is pre-existing bundle branch block
  • anterograde conduction occurs down an accessory pathway which is distinct from the AV node

P waves:

  • are inverted
  • in AV-nodal re-entry tachycardia may be masked by the QRS complex
  • in AV re-entry tachycardia occur half-way between the QRS complexes
  • there is one P wave for each QRS complex

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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