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    This document contains medical information about a 73-year-old female patient admitted to the clinic for chest pain. It includes her medical history of hypertension, type 2 diabetes, and rheumatoid arthritis. Her examination findings and test results like EKG, echocardiogram, and coronary angiogram are presented. The conclusion is that she experienced a type of paroxysmal supraventricular tachycardia known as intranodal reentrant tachycardia, as evidenced by her EKG showing a regular rhythm with a narrow QRS complex and retrograde P waves. She was treated successfully with radiofrequency ablation.

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    This document contains medical information about a 73-year-old female patient admitted to the clinic for chest pain. It includes her medical history of hypertension, type 2 diabetes, and rheumatoid arthritis. Her examination findings and test results like EKG, echocardiogram, and coronary angiogram are presented. The conclusion is that she experienced a type of paroxysmal supraventricular tachycardia known as intranodal reentrant tachycardia, as evidenced by her EKG showing a regular rhythm with a narrow QRS complex and retrograde P waves. She was treated successfully with radiofrequency ablation.

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    73 views20 pages

    Caz Clinic (2) New

    Uploaded by

    GeoRares
    This document contains medical information about a 73-year-old female patient admitted to the clinic for chest pain. It includes her medical history of hypertension, type 2 diabetes, and rheumatoid arthritis. Her examination findings and test results like EKG, echocardiogram, and coronary angiogram are presented. The conclusion is that she experienced a type of paroxysmal supraventricular tachycardia known as intranodal reentrant tachycardia, as evidenced by her EKG showing a regular rhythm with a narrow QRS complex and retrograde P waves. She was treated successfully with radiofrequency ablation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 20

    Caz clinic

    Cristiana Cimpu, Vlad


    Ghimpu, Andreea Tnase
    gr. 27

    Anamneza

    HG, 73 ani
    -HTA esentiala st.II (max.180/110 mmHg )
    -DZ tip II (in tratament cu ADO)
    -PR (de 31 ani ,minim activa clinicobiologic,in trat.
    - Metotrexat 2,5mg
    -Hidroxiclorochina
    (Plaquenil)
    MOTIVELE INTERNARII
    - durerea retrosternal, caracter de arsur si senzatia
    de nod in gat, repaus/ efort mic, durat >20 min.,
    cedeaz la NTG, fr iradieri;

    EXAMEN OBIECTIV
    Orientat temporo-spatial, IMC =29
    Facies pletoric
    Tegumente si mucoase:N
    Gg.superf.:nepalp.
    T.adipos:N distribuit
    T.muscular:normoton,normokinetic
    Ap.cardiovasc.:-torace normal conformat
    -fara pulsatii evidente ale vaselor de la baza
    gatului
    -soc apexian sp V ic stg
    -puls periferic transmis
    - matitate cardiaca-limite normale
    - zgomote cardiace echidistante,echipotente ,
    usor diminuate ,
    fara sufluri
    AV=75-80 bpm
    TA=120-80 mmHg

    28.01.2014

    29.01.2014

    Adm.Betalok 1 mg , iv.

    Ecocardiografie

    EKG test de efort

    EKG test de efort

    HLG , biochimic
    Rx

    Normale

    Mecanism TRIN : TRIN tipic (de tip slow-fast) B-conducere


    anterograda pe cale lenta si retrograd pe cale rapida; TRIN
    atipic (de tip fast-slow).

    Ablatie cu radiofrecventa !

    ECOCARDIOGRAFIE

    Dupa ablatie

    ! Ablatia cu radiofrecventa !
    Tratament : Nebivolol (Nebilet 5 mg) 1cp/zi
    Lercanidipinum (Leridip 10 mg) 1cp/zi
    Atorvastatina (Sortis 10 mg ) 1cp /zi
    Telmisartanum (Tolura 40 mg) 1cp/zi
    Aspenter 75 mg 1cp/zi pranz
    Esomeprazol 40 mg 1cp /zi
    Metotrexat 15 mg sc/sapt
    Hidroxiclorochina ( Plaquenil) x2/zi
    Siofor 1000mg cp 2x/zi

    Coronarografie

    Diagnostic dif.: - angina instabila


    - tahic.atriala
    (focar ectopic /cale accesorie)
    - tahic.sinusala
    [RP]>[PR]

    Particularitati :
    -absenta palpitatiilor
    -alungirea [PR] datorita BAV I
    - TRIN tipica + cale lenta
    prelungita anatomic in sinusul coronar

    Concluzii :
    TPSV reintranta intranodal :
    EKG- frecventa(140-220 bpm)
    - ritm regulat
    - QRS ingust
    -P retrograde cu
    [PR]>[RP],RP<60msec
    (aspect pseudo sin
    DII,DIII, aVF si pseudo r in V1)
    -debut si finalitate brusca

    VA
    MULTUMIM !

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