Post cardioversion ECG of SVT in patient with palpitations and near syncope

ECG Weekly Workout with Dr. Amal Mattu


A 29-year-old woman presents to the emergency department with an episode of palpitations and near syncope. She reports several similar episodes in the past that were brief in duration and self-resolved. On arrival she is found to be in SVT, and the following ECG is obtained after treatment with adenosine:

Before watching the video, ask yourself:

    1. How would you interpret and document this ECG?
    2. How would you manage this patient now that the SVT has been treated?
    3. Does this patient need any specific specialist consultation or referrals?