Abstract
Lateef Fatimah1-3* Author Affiliations 1Department of Emergency Medicine, Singapore General Hospital, Singapore 2Yong Loo Lin School of Medicine, National University of Singapore 3Lee Kong Chian Medical School, Nanyang Technological University and Duke NUS Graduate Medical School, Singapore Received: July 08, 2021 | Published: July 19, 2021 Corresponding author: Lateef Fatimah, Department of Emergency Medicine, Singapore General Hospital, Singapore DOI: 10.26717/BJSTR.2021.37.005982
Highlights
Imagine that you are the emergency physician on duty and a 56-year-old patient, with no past medical problems, presents with palpitations
In your clinical practice, have you ever come across a patient with Paroxysmal Supraventricular Tachycardia (PSVT), who occasionally has attacks of paroxysmal atrial fibrillation (AF), or encountered a patient with PSVT that degenerates into AF? These scenarios are not uncommon
You make the diagnosis of Paroxysmal Supraventricular Tachycardia (PSVT) and go on to take a rapid history from the patient, as your resident inserts a large bore cannula and collect some blood for investigations
Summary
Imagine that you are the emergency physician on duty and a 56-year-old patient, with no past medical problems, presents with palpitations. There have been some postulations as to the possible mechanisms and pathogenesis involved. This paper discusses in a simplified fashion, what some of these possible mechanisms are, as well as the micropathophysiology that may be taking place as clinicians observe these rhythm changes and development.
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