ECG Case 279 Interpretation

This post is an answer to ECG Case 279

  • Rate: 196 bpm
  • Rhythm: Regular
  • Axis: Right Axis Deviation
  • Intervals: QRS – Prolonged (140ms)
  • Segments: Discordant ST segment change
  • Additional:
    • Positive precordial concordance
    • Absence of typical BBB pattern

Interpretation

Ventricular Tachycardia (VT)

  • Patient features
    • Elderly
    • Known ischaemic cardiomyopathy
  • ECG Features
    • Broad complex tachycardia
    • Absent typical BBB morphology
    • Precordial concordance

What happened next ?

The patient underwent successful DC cardioversion and was admitted under cardiology team.

READ MORE: Never Mistake Ventricular Tachycardia for Supraventricular Tachycardia with Aberrant Conduction

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