Healthy sinus arrhythmia associated with accelerated ventricular rhythm in cases of self.docVIP

 PAGE \* MERGEFORMAT 4 Healthy sinus arrhythmia associated with accelerated ventricular rhythm in cases of self [Keywords:] sinus arrhythmia; accelerated ventricular rhythm independently; Analysis A medical record Patients, female, 26 years old. 38 weeks of pregnancy, routine physical examination during pregnancy was found with serious sinus arrhythmia independent of accelerated ventricular rhythm, usually without any discomfort, previous health. Examination: T 36.4 ℃, P 86 times / min, R 15 times / min, BP 112/70mmHg (1mmHg = 0.133kPa). head of the organ examination was normal. jugular vein without filling, not the thyroid. lungs no abnormal breath sounds, no smell and the wet and dry La tone. precordial no uplift, apex beat normal position, no dispersion, the heart is not dullness, heart rate 86 times / min, irregular rhythm, the valve area and the noise is not heard. A2gt; P2, peripheral vascular sign was negative. abdomen Check no exception. spine, limbs, normal shape and movement. neurological examination was normal. blood, urine normal, normal ECG revealed sinus arrhythmia with serious ventricular acceleration own rhythm, 24h Holter monitoring showed ventricular acceleration independent rhythm 168 matrix, no abnormal chest anteroposterior film, echocardiography examination was normal, rheumatoid full test normal. 2 Discussion Accelerated ventricular rhythm also known as independent non-paroxysmal supraventricular tachycardia, accelerated ventricular escape rhythm, slow ventricular tachycardia. The mechanism of ventricular ectopic pacemaker increased self-discipline, ventricular ectopic rhythm close to or exceed the sinus node of the self-discipline, control of ventricular a temporary phenomenon. The ventricular ectopic pacemaker is not protective of outgoing and incoming block, once the sinus rhythm faster and ventricular ectopic pacemaker more than self-discipline, sinus tachycardia can be replaced. Accelerated ventricular rhythm in ECG