Atrial Tachycardia w/ High Grade AVB and Junctional Rhythm?
Apologies for the picture of a screen.
Pt has already received treatment for this and got a PM implanted. I’m curious what others think as a few of my colleagues are going back and forth.
\- Average rate of 55 bpm, range of 28-95 bpm.
\- Max RR 2.4 seconds
\- Atrial rate is consistently 160 bpm with variable ventricular conduction throughout and rare ?1:1 conduction.
Last monitor from 2015 showed AFib.
My best guess prior to looking at patient history was a junctional rhythm with underlying atrial tachycardia and high grade AVB. My initial thoughts on the atrial rhythm were AF, but the rate didn’t seem high enough for AFlutter and the consistent rate ruled out AFib in my mind.
Doctor called it atrial fibrillation with periods of regularity due to junctional rhythm with intermittent sinus arrest.
What would you call this if placed in front of you with no patient history?