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quiz
Quiz {#650
  -id: 39
  -titre: "Atrial tachycardia with Wenckebach atrioventricular conduction"
  -titreEn: null
  -type: "Rythmologie"
  -typeEn: null
  -auteur: "Dr EL HRAIECH Aymen"
  -service: "Sahloul cardiology departement"
  -serviceEn: null
  -photoAuteur: "auteur-cas-rythmo-janvier2020.jpg"
  -filephoto: null
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  -commentaire: """
    <p style="text-align:justify"><span style="font-family:Arial,Helvetica,sans-serif"><span style="font-size:16px">Analysis of the recordings reveals regular atrial activity with P-P intervals. The P-R intervals undergo progressive prolongation until a ventricular pause occurs. Such a sequence indicates a Wenckebach atrioventricular (AV) nodal conduction mechanism.&nbsp; It is most likely an atrial tachycardia with Wenckebach atrioventricularconduction mechanism. (1)</span></span></p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-family:Arial,Helvetica,sans-serif"><span style="font-size:16px">Electric shock has reduced TSV (atrial fibrillation or atrial flutter) and gives way to another tachycardia (atrial tachycardia).</span></span></p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-family:Arial,Helvetica,sans-serif"><span style="font-size:16px">References</span></span></p>\r\n
    \r\n
    <ol>\r\n
    \t<li style="text-align: justify;"><span style="font-family:Arial,Helvetica,sans-serif"><span style="font-size:16px"><a href="javascript:void(0);">Carbone</a>.V, <a href="javascript:void(0);">Calabr&ograve;</a>.MP, <a href="javascript:void(0);">Marafioti</a>.V&nbsp;, <a href="javascript:void(0);">Oreto</a>.G.&nbsp; Atrial tachycardia with Wenckebach atrioventricular conduction mechanism: What is the origin of the beat following the pause? HeartRythm <a href="https://www.heartrhythmjournal.com/issue/S1547-5271(15)X0013-0">2016</a>&nbsp;;( 13):321-3.</span></span></li>\r\n
    </ol>
    """
  -commentaireEn: null
  -description: """
    <p style="text-align:justify"><span style="font-family:Arial,Helvetica,sans-serif"><span style="font-size:16px">64 year old patient, diabetic, having a sleep apnea syndrome with poor compliance, consults the emergency for palpitations. Physical examination shows a precarious hemodynamic state. Twelve-lead ECG showed a supraventricular tachycardia. (Figure 1) </span></span></p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-family:Arial,Helvetica,sans-serif"><span style="font-size:16px">Because of the hemodynamic instability, we opted for an electrical cardioversion. The ECG after the external electric shock is attached. (Figure 2) </span></span></p>
    """
  -descriptionEn: null
  -casdemois: Casdemois {#477 …}
  #question: PersistentCollection {#608 …}
  #media: PersistentCollection {#673 …}
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