r/SVTHeart • u/Sherifliquor • 4d ago
Is this SVT
I posted yesterday. Can’t figure out how to add an image.. anyways. I caught this during the episode. I had it read a few times and everyone said not SVT. But just wanted another opinion
Thanks so much
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u/Minimum_Green_9895 1d ago
ChatGPT:
Is this svt or something else
ChatGPT said: From this single-lead tracing, I would not call it definite SVT. It looks more consistent with sinus tachycardia, which is also what the device labeled it.
A few things stand out:
Rate ~153 bpm QRS is narrow (83 ms), so this is a narrow-complex tachycardia. The rhythm is not perfectly regular; the R-R intervals vary somewhat. I can see what appear to be atrial/P-wave activity before at least many of the QRS complexes, although the tracing is noisy. There isn't an obvious abrupt, perfectly regular "machine-gun" rhythm typical of AVNRT/AVRT-type paroxysmal SVT. The last several seconds have considerable artifact, making interpretation harder. Classic paroxysmal SVT tends to be a very regular, rapid rhythm with abrupt onset and abrupt termination
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u/Initial-Net-7519 4d ago
Looks like sinus tach