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Exam questionKROK 2Medicine ยท 2023

A 45-year-old man with a history of myocardial infarction developed a brief attack of palpitations, accompanied by the sensations of lack of air, fear, and vertigo. His blood pressure is 90/60 mm Hg. ECG during the attack shows extended QRS complex (0.13 seconds) with the heart rate of 160 /min., discordant shift of ST segment and T wave, dissociation of atrial and ventricular rhythm. What disturbance of cardiac rhythm is it?

Answer options

  1. Paroxysmal ventricular tachycardia
  2. Ventricular fibrillation
  3. Frequent ventricular extrasystoles
  4. Atrial fibrillation
  5. Paroxysmal supraventricular tachycardia
Correct answer

Paroxysmal ventricular tachycardia

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