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Your 100 Year Old Patient Has a Heart Rate of 70

Question 30

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Your 100 year old patient has a heart rate of 70 BPM but then it suddenly accelerates to 180 BPM for a short time and then it goes back to the original rate. Analysis of the ECG reveals a regular rhythm with one upright P wave preceding each narrow QRS complex (until it suddenly accelerates) . The fast heart rate shows wide QRS complexes without a P wave preceding them. This type of irregularity is called ________ irregularity.


A) totally
B) patterned
C) occasional
D) paroxysmal

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