ECG on Instagram: "❗️Beauty of Cardiology ✨ | Adenosine & PSVT ➡️Adenosine is one of the most elegant tools in cardiology. With a brief, transient AV nodal block, it can instantly terminate AV node–dependent PSVTs, especially AVNRT and orthodromic AVRT. 🔶️In just a few seconds, the tachycardia stops — or the underlying rhythm is revealed. Fast, diagnostic, therapeutic, and gone without a trace. ⚕️That moment when silence follows chaos… That’s the beauty of cardiology. #Cardiology #ECG #Electrop
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Orthodromic vs. Antidromic AVRT: The Loop Determines the QRS In AVRT, the circuit includes both the native conduction system and an accessory pathway (AP). The direction of impulse travel dictates the ECG morphology. 🔁 Orthodromic AVRT (Narrow QRS) • Down: AV node → His-Purkinje system (normal ventricular activation). • Back: Retrograde via the AP to the atria. • ECG: Narrow complex (unless aberrancy). ⚡ Antidromic AVRT (Wide QRS) • Down: AP directly into the ventricle (pre-excitation). • Back:
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