Which is true about sinus tachycardia?
Now, the question is asking which statement is true. Since the options aren't provided, I need to think about common facts related to sinus tachycardia. Common characteristics include a heart rate over 100 bpm, but less than 150 bpm. It's usually a response to physiological stressors like fever, exercise, anxiety, or hypovolemia. The P waves should still be present and look normal, just occurring more frequently. The QRS complex remains narrow because the ventricles are depolarizing normally through the His-Purkinje system.
Let me consider possible incorrect options. For example, someone might confuse sinus tachycardia with sinus arrhythmia, which is a variation in heart rate with breathing. Another possible mistake is thinking that sinus tachycardia has an irregular rhythm, but it's actually regular. Also, if an option says the P waves are absent or inverted, that would be incorrect because in sinus tachycardia, the P waves are present and upright in lead II.
Clinical pearls: Remember that sinus tachycardia is a physiological response, not a pathological rhythm. Treatment is directed at the underlying cause, not the tachycardia itself. For example, treating dehydration or fever. It's important to differentiate it from other tachycardias like atrial fibrillation, which requires different management.
Wait, the user mentioned the correct answer is option C. So I need to structure the explanation around that. Let me make sure that the correct answer is about the physiological causes and the characteristics of the ECG. The correct answer should state that the P waves are present and upright, heart rate is 100-150 bpm, and it's a response to stressors. The wrong options would include things like irregular rhythm, absent P waves, or treatment with beta-blockers without addressing the cause.
**Core Concept**
Sinus tachycardia is a regular, narrow-complex tachycardia originating from the sinoatrial (SA) node, characterized by a heart rate >100 bpm but <150 bpm. It is typically a physiological response to stressors like hypovolemia, fever, or anxiety, preserving 1:1 atrioventricular conduction and normal P-wave morphology.
**Why the Correct Answer is Right**
In sinus tachycardia, the SA node fires at an accelerated rate, but the cardiac impulse follows the normal conduction pathway. ECG features include upright P waves in lead II, a regular rhythm, and narrow QRS complexes (<0.12 seconds). The heart rate typically ranges from 100β150 bpm. Unlike other tachycardias (e.g., atrial fibrillation or flutter), sinus tachycardia is a