McGill Case 334

This case report is kindly provided by Michael Rosengarten from McGill and is part of the McGill Cases. These cases come from the McGill EKG World Encyclopedia. Previous Case: McGill Case 333 | Next Case: McGill Case 335

This is an electrocardiogram from an elderly woman with palpitations. The cardiogram shows a wide complex tachycardia with a left bundle branch morphology at a rate of about 160/min. The R wave in V2 is broad and the time from the beginning of the QRS in V2 to the peak of the S wave is longer than 80 ms. No P wave activity is clearly seen. The cardiogram suggests ventricular tachycardia. The patient has done well since this cardiogram on flecainide and metoprolol.