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Sinus Tachycardia


Sinus Tachycardia (Example 1)
Sinus Tachycardia (Example 2)
Sinus Tachycardia (Example 3)
Sinus Tachycardia (Example 4)

Sinus tachycarida is indicated on ECG with a normal upright P wave in lead II preceeding every QRS complex (indicating that the pacemaker is coming from the sinus node and not elsewhere in the atria) with an atrial rate of greater than 100 per minute. Usually the ventricular rate (indicated by the QRS complex rate), is also greater than 100 since in most cases every P wave conducts through the AV node to the ventricules to produce a QRS complex. On occassion the sinus rate can be different than the ventricular rate (AV dissociation). Treatment is aimed at the primary cause. The differential diagnosis for sinus tachycardia includes:
                                                                                                                            
1) Exercise
2) Anemia
3) Dehydration/shock
4) Fever/sepsis/infection
5) Hypoxia
6) Chronic pulmonary disease
7) Hyperthyroidism
8) Pheochromocytoma
9) Medications/stimulants
10) Decompensated congestive heart failure
11) Pulmonary embolus




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