KROK 1 2017 – Question 38 · KROK (Medicine) · Physiology

A 15-year-old teenager complains of lack of air, general weakness, palpitations. Heart rate is 130/min., BP is 100/60 mm Hg. ECG: QRS complex has normal shape and duration. The number of P waves and ventricular complexes is equal, T wave merges with P wave. What type of cardiac arrhythmia is observed in the teenager?

  1. A. Paroxysmal atrial tachycardia
  2. B. Atrial thrill
  3. C. Atrial fibrillation
  4. D. Sinus tachycardia
  5. E. Sinus extrasystole
Hint

Compare the number of P waves with the number of QRS complexes, the QRS shape and the rate, and ask where the impulses arise and whether the rhythm is regular.

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