What is a short spurt of PAT's???

  1. I have never heard of PAT and i can't figure out what the abbreviation stands for. Anyone??
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    About kaseysmom

    Joined: Oct '04; Posts: 64; Likes: 4
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    12 Comments

  3. by   kat911
    Quote from kaseysmom
    I have never heard of PAT and i can't figure out what the abbreviation stands for. Anyone??
    Paroxysmal Atrial Tachycardia, Rate of atrial tach that is above 160. SVT is now usually used to cover most non ventricular in origin tachycardia. PAT is what we used in "old" days. I can't believe I just said that, that I've been a nurse long encough to say that!
  4. by   kat911
    Quote from kaseysmom
    I have never heard of PAT and i can't figure out what the abbreviation stands for. Anyone??
    I guess I could finish answereing your question, your patient is having short runs of a rapid narrow QRS rhythm, to put it into ACLS language.
  5. by   NRSKarenRN
    Last edit by NRSKarenRN on Dec 26, '04
  6. by   PHTLS
    Quote from kaseysmom
    I have never heard of PAT and i can't figure out what the abbreviation stands for. Anyone??
    You get that just by drinking Mountain Dew. It's been a while since I've done any telemetry stuff, PAT's are just multiple PAC's and having multiple PAT's can lead to Afib.

    Someone care to dispute this? Like I said, it's been a while and being a nurse is killing my memory cells.
    Last edit by PHTLS on Jan 4, '05
  7. by   SusanJean
    Quote from PHTLS
    You get that just by drinking Mountain Dew. It's been a while since I've done any telemetry stuff, PAT's are just multiple PAC's and having multiple PAT's can lead to Afib.

    Someone care to dispute this? Like I said, it's been a while and being a nurse is killing my memory cells.
    I have a long history of PAT's (now called SVT's) and other than being tired and uncomfortable, my cardiologist said I might throw a clot. I've learned how to relax and convert on my own, so I don't worry about them.
    Yes, caffeine, certain meds can cause them.
  8. by   Toby's mum
    Quote from PHTLS
    You get that just by drinking Mountain Dew. It's been a while since I've done any telemetry stuff, PAT's are just multiple PAC's and having multiple PAT's can lead to Afib.

    Someone care to dispute this? Like I said, it's been a while and being a nurse is killing my memory cells.

    PHTLS,

    It's interesting you mentioned this because I saw an elderly patient admitted from the ER with chest pain throwing off multiple PAC's last night while on duty-in training as the cardiac monitor tech. I didn't realize that this might be a precursor to PAT's and possibly Afib. Now I'll pay a lot closer attention whenever I see multiple PAC's. This was actually the first time I've seen so many from one patient. Thanks for passing this info on. Steph

    Also, when I took the basic rhythm class, I was told the following: " PAT is the sudden onset of a tachycardia with a rate greater than 150. It is frequently triggered by a PAC. To interpret the PAT, the beginning of the PAT must be seen and the underlying rhythm that precedes the PAt must be identified. If the onset of the PAt is not seen, the dysrhythmia is called supraventricular tachycardia (SVT).
  9. by   kaseysmom
    Quote from Toby's mum
    PHTLS,

    It's interesting you mentioned this because I saw an elderly patient admitted from the ER with chest pain throwing off multiple PAC's last night while on duty-in training as the cardiac monitor tech. I didn't realize that this might be a precursor to PAT's and possibly Afib. Now I'll pay a lot closer attention whenever I see multiple PAC's. This was actually the first time I've seen so many from one patient. Thanks for passing this info on. Steph

    Also, when I took the basic rhythm class, I was told the following: " PAT is the sudden onset of a tachycardia with a rate greater than 150. It is frequently triggered by a PAC. To interpret the PAT, the beginning of the PAT must be seen and the underlying rhythm that precedes the PAt must be identified. If the onset of the PAt is not seen, the dysrhythmia is called supraventricular tachycardia (SVT).
    along with the PAT's he had bradycardia...however im not sure when these occured..
  10. by   UM Review RN
    Bradycardia is a heart rate of less than 60, so bradycardia along with PATs? One by definition is a very slow rate. The other is extremely fast.

    Or is it possible he had PACs instead? PACs are Premature Atrial Contractions, which would be more likely in combination with a bradycardia.

    Maybe I should clarify a bit: I asked that because we don't often see a patient in bradycardia suddenly have a spurt of PAT, then convert back to bradycardia on their own. We usually find that the patient will be in bradycardia, then go to PATs (or SVT), and then get stuck there so we have to treat it.

    Of course, the average age of our patients is mid-70s, so that could be a factor.
    Last edit by UM Review RN on Jan 6, '05
  11. by   dianah
    Tachybrady syndrome????? Google it.
  12. by   DARLENEDAVIS
    Quote from kaseysmom
    I have never heard of PAT and i can't figure out what the abbreviation stands for. Anyone??
    paroxysmal atrial tachycardia excuse my spelling I just had eye eurgery and this is a bit blurred... :imbar
  13. by   UM Review RN
    Quote from dianah
    Tachybrady syndrome????? Google it.
    It might also be referred to as Sick Sinus Syndrome.
  14. by   Ted
    Quote from Angie O'Plasty, RN
    It might also be referred to as Sick Sinus Syndrome.
    YEP! I thought of Sick Sinus Syndrome too!

    Pace maker time?!?!?



    Ted

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