A 19-year-old college student presents with recurrent episodes of palpitations (HR 180 bpm, BP 110/70 mmHg, RR 20, SpO2 98% on room air). Between episodes, ECG demonstrates a short PR interval and slurred QRS upstroke consistent with ventricular preexcitation. During the acute episode, rhythm strip shows regular narrow-complex tachycardia at 190 bpm. Troponin levels are normal. Which mechanism best explains the tachycardia during this episode?

  1. A)Triggered activity from delayed afterdepolarizations
  2. B)Focal atrial automaticity from the pulmonary veins
  3. C)Antegrade conduction through the AV node and retrograde conduction through the accessory pathwayGABARITO
  4. D)Antegrade conduction through the accessory pathway and retrograde conduction through the AV node
  5. E)Reentry entirely within the AV node

Explicação

This patient has Wolff-Parkinson-White syndrome. The most common tachyarrhythmia is orthodromic AV reentrant tachycardia, in which impulses travel antegrade through the AV node and return retrograde through the accessory pathway, producing a narrow-complex tac... Ver explicação completa e trilha adaptativa →

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