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Tachyarrhythmias and differentiating clinical features

Causes of tachyarrhythmias and differentiating clinical features
 RateP-wavesVariabilityMost common demographic
Sinus Tachycardia<220Present, normal morphologyVariableTypically unwell children or systemic illness
Supra Ventricular Tachycardia>220 (commonly 250-300 in infants)Absent or after QRSFixed 
AVRT including WPW After QRS Neonates and children
 AVNRT Not usually visible Adolescent
Atrial Flutter


Up to 500 beats/min in neonates (300 beats/min in children) with variable AV conduction being commonSaw tooth flutter waves (often only appreciated with AV block from adenosine)Fixed but may appear irregular depending on AV conductionNeonates (then not again until adulthood)
Atrial Ectopic Tachycardia Precede QRS with abnormal axisVariableMay not respond to DC cardioversion or adenosine. Can cause cardiomyopathy.
Junctional Ectopic Tachycardia170-300InvertedVariablePost cardiac surgery

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