Had a weird run of beats, managed to catch just one. Is this a PVC or something else?
Posted Oct 25, 2022, 11:30 PM UTC
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Background: Sitting at rest, sudden run of strange beats - 5-8 in a row over a short period of time. Rate jumped from 70~ to mid 90s afterwards then settled back a few minutes later.
I'm on beta blockers for atrial ectopic issues, which this most definitely was not.
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Do you get blocked pacs or non conductive
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Nope just regular old ectopic pacs from an ectopic focus. Normal qrs follows, p wave morphology is double peaked like you’d see in left atrial enlargement.
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80bpm, RR, Axis n/a, +P, PR 120, QRS 80ms, QT 320ms, ST Normal, T Normal; Impression: NSR
It's really hard to say with the artifact following it. The QRS is on rhythm with the rest of the strip, it doesn't look like a PVC. The P waves barley show up on the tracing but you can still see it mostly.
What did it feel like? Was the artifact caused by a flinch. You said there was a run of them before?
Felt like sudden big drops, multiple in a row. Like pvcs without the big thump and pause, but very unlike pacs which I am used to. Instant dizziness or lightheadedness.
I’d assume the artifact was caused by a flinch after that last one there.
This has happened maybe 6 times this year, been unable to catch it so far other than this. Usually followed by slowly declining sinus tach. This time it went back to low 70s within a few minutes.