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Subjects/Medicine/AIIMS 2018
AIIMS 2018
medium
stethoscope Medicine

A smoker presents with recent onset breathlessness and ECG was done. The diagnosis is?

A. Atrial fibrillation
B. Paroxysmal supraventricular tachycardia
C. Acute myocardial infarction
D. Multi-focal atrial tachycardia

Explanation

Multi - focal Atrial tachycardia: - Irregular R-R internal - Right axis detion - Variable amplitude P-wave - Normal PR interval - Non progression of R-wave (suggestive of Right ventricular etiology Atrial fibrillation Irregular R-R intervals and absence of P waves. AF Ruled out because these is P wave present in ECG. Acute myocardial infarction No STEMI No T wave inversion PSVT ruled out - Rhythm normal

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