🔁 AVRT Quick Visual Guide. 1️⃣ Orthodromic AVRT (Most Common): → Pathway: Antegrade AV node ➡️ Retrograde accessory pathway. → ECG: Narrow QRS, retrograde P waves (RP > PR). → Key: Classic in WPW syndrome. 2️⃣ Antidromic AVRT (Rare): → Pathway: Antegrade accessory pathway ➡️ Retrograde AV node. → ECG: Wide QRS (mimics VT), retrograde P waves (often buried). → Key: Riskier due to preexcitation. #Cardiology #Electrophysiology #AVRT #WPW #ECG | Abdallah Othman
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Atrioventricular Reentrant Tachycardia (AVRT) ✨(AVRT) is a type of supraventricular tachycardia (SVT) caused by a reentrant circuit involving the AV node and an accessory pathway (AP). Pathophysiology - Reentry circuit: AV node accessory pathway (AP). - Orthodromic (90%): Narrow QRS ➡️ AP retrograde. - Antidromic (10%): Wide QRS ⚠️ (mimics VT). 📈 ECG Signs: - Orthodromic: Retrograde P wave after QRS, ❌ delta wave during tachycardia. - Antidromic: Wide QRS, delta wave in sinus rhythm (WPW). - WP
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Analyzing this EKG, we're differentiating possibilities beyond SVT. A-flutter is unlikely given the rate and lack of flutter waves. Since there are no wide QRS complexes, SVT is the likely culprit and can be treated safely with adenosine or rate control. #EKG #SVT #Cardiology #Adenosine #AVRT | Practical EMS
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🔍 AVNRT vs. AVRT: Cheat Sheet Master the critical differences between the two most common SVTs. Save this for your next code or rounds! Like & Share to educate your network! 🔁 👨‍⚕️👩‍⚕️ Tag a future Electrophysiology fellow who needs to see this! #Cardiology #EPeeps #SVT #ECG #MedTwitter #FOAMed #MedEd | Abdallah Othman
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