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Exam questionKROK 2Medicine ยท 2012

An 8-year-old girl periodically has sudden short-term heart pain, sensation of chest compression, epigastric pain, dizziness, vomiting. Objectively: the patient is pale, respiratory rate - 40/min, jugular pulse is present. Ps- 185 bpm, of poor volume. AP- 75/40 mm Hg. ECG taken during an attack shows ectopic P waves, QRS wave is not deformed. At the end of an attack a compensatory pause is observed. The most likely cause of the attack is:

Answer options

  1. Paroxysmal atrial tachycardia
  2. Complete AV-block
  3. Sinus tachycardia
  4. Atrial fibrillation
  5. Paroxysmal ventricular tachycardia
Correct answer

Paroxysmal atrial tachycardia

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