AVNRT physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Ramyar Ghandriz MD[2]

Overview

Common physical examination findings of AVNRT include tachycardia, hypotension, and canon a waves in jugular vein.

Physical Examination

Appearance of the Patient

• Patients with AVNRT usually appear normal.

Vital Signs

Pulse

• The heart rate is typically regular and between 140-280 bpm. In adults the range is 140-250 bpm, but in children the rate can exceed 250 bpm.

Systolic Blood Pressure

• Hypotension may be present in some cases.

Skin

• Skin examination of patients with AVNRT is usually normal.

HEENT

• HEENT examination of patients with AVNRT is usually normal.

Neck

• Cannon a waves may be present in some cases

Lungs

• Rales may be present in some patients with congestive heart failure

Heart

• If the AVNRT is not a complication of perivious MI, heart examination would be normal exept tachycardia that is present.

Abdomen

• Abdominal examination of patients with AVNRT is usually normal.

Back

• Back examination of patients with AVNRT is usually normal.

Genitourinary

• Genitourinary examination of patients with AVNRT is usually normal.

Neuromuscular

• Neuromuscular examination of patients with AVNRT is usually normal.

Extremities=

• Extremities examination of patients with AVNRT is usually normal.