Advertisement
Josephson and Wellens ECG Lessons: A Monthly Visit to the 12 Lead ECG| Volume 15, ISSUE 2, P306-307, February 01, 2018

Unusual termination of a wide QRS tachycardia

      The electrocardiogram (Figure 1) was recorded in a 72-year-old man who came to the first heart aid clinic because of palpitations accompanied by moderate chest pain. Two years earlier he suffered from an anteroseptal myocardial infarction with a left ventricular ejection fraction of 30% and did receive an implantable cardioverter-defibrillator. He was in functional class 2 of the New York Heart Association and was treated with a β-blocker, an angiotensin-converting enzyme inhibitor, a diuretic, and a statin. He never noted these palpitations before.
      Figure thumbnail gr1
      Figure 1A wide QRS tachycardia at a rate of 125 beats/min. Three small QRS complexes are present. See text.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic and Personal
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Heart Rhythm
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect