This was a very interesting case:
A Very Fast Regular Narrow Complex, Followed by an Equally Fast Regular Wide Complex
It had a very fast narrow complex rhythm, then a very fast wide complex rhythm, then converted to sinus with a very short PR interval.
We surmised that there must be accelerated AV conduction AND an accessory pathway.
The EP results are back, and:
1. Accelerated AV conduction
2. Left lateral accessary pathway. It was ablated.
Ajr heart is between 60 to 100. But also when we have a differential of a by pass tract.how could one use adenosine,as making prone to afib.one must use class1 antiarrythmic agents.
No, one can use adenosine. If there is a conversion to atrial fib, the effect of the adenosine will be gone by that time and there will be no downside.