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01-01-2011 | Rhythm Puzzle - Answer

A Wide QRS Tachycardia in a Young Patient: Does It Ring a Bell?

Auteurs: B. E. Schölzel, J. C. Balt, G. H. A. M. van Helden, E. F. D. Wever

Gepubliceerd in: Netherlands Heart Journal | Uitgave 1/2011

Excerpt

The ECG shows a wide complex tachycardia with a rate of 230 beats/min, a QRS duration of 130 ms, superior axis and an RBBB configuration. There is no evidence of AV dissociation, fusion or capture beats. The QRS morphology in the precordial leads (q in V1, QS pattern in V3 and V4 and rS pattern in V5 and V6) as well as the QRS axis of −100° is consistent with a monomorphic ventricular tachycardia (VT), originating from the apico-postero-lateral wall of the left ventricle [1]. …

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Titel: A Wide QRS Tachycardia in a Young Patient: Does It Ring a Bell?
Auteurs: B. E. Schölzel
J. C. Balt
G. H. A. M. van Helden
E. F. D. Wever
Publicatiedatum: 01-01-2011
Uitgeverij: Bohn Stafleu van Loghum
Gepubliceerd in: Netherlands Heart Journal / Uitgave 1/2011
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI: https://doi.org/10.1007/s12471-010-0059-z

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