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== Summary == | |||
{{Information | |||
|Description = Wide Complex Tachycardia | |||
This EKG shows a fast wide complex tachycardia in the range of 270/min., lead V4 is missing due to a poor electode contact. | |||
Considering the patient's age and history of previous infarctions and low ejection fraction the diagnosis is almost certainly ventricular tachycardia. | |||
The QRS morphology favors ventricular tachycardia as this is a RBBB morphology with the R to S ratio in V6 is less than 1 and a Monomorphic R in V1. | |||
The patient was shocked with 200 joules (less probably have worked too) and regained sinus rhythm | |||
A cardiac cath showed a 100% LAD stenosis and an 80-90% circumflex stenosis with patient grafts to the LAD and OM. The EF was 15%. | |||
The patient was implanted with a defibrillator and is doing well with no shocks received 3 months post implant. | |||
|Category = [[Case_reports_from_Michael_Rosengarten|Case reports by Michael Rosengarten]] | |||
|Source = EKG World Encyclopedia http://cme.med.mcgill.ca/php/index.php , courtesy of Michael Rosengarten BEng, MD.McGill | |||
|Date = 2012 | |||
|Author = Michael Rosengarten BEng, MD.McGill | |||
|Permission = {{by-nc-sa-3.0}} | |||
|other_versions = None | |||
}} | |||