Skip to main content
ECG library

Supraventricular tachycardia (AVNRT)

core

A 29-year-old with abrupt-onset palpitations and lightheadedness.

25 mm/s · 10 mm/mV · synthetic tracing
100%
IIIIIIaVRaVLaVFV1V2V3V4V5V6
II (rhythm)
Calipers:2000 ms50.0 small boxes30 bpm if R-RDrag the orange markers. One small box = 40 ms.

Key findings

  • Regular, narrow, fast
  • Abrupt onset and offset
  • Hidden or retrograde P waves

Learning points

  • Abruptness separates SVT from sinus tachycardia; sinus speeds up and slows down gradually.
  • Vagal maneuvers and adenosine are both diagnosis and treatment at the AV node.

Connected