46yo female presented with palpitation, no medical history. | Figure 1

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46yo female presented with palpitation, no medical history. No p wave? Junctional paroxysmal tachycardia?


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bottom strip: HR 70s, SR 1 degree AVB; top strip: HR 120s, rhythm unsure of. Looking for possible interpretations. Junctional tachy has been suggested, however the QRS is fairly wide (but does not have a BBB), and it looks to me like the p wave is buried between the QRS and the T wave. What do you all think?



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