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A fascinating electrophysiology case. What is this wide complex tachycardia, and how best to manage it?

Dr. Smith's ECG Blog

The pacing rate was increased without clinical improvement and the patient was transferred to the ICU for closer monitoring/treatment. These are all findings that can be expected with left ventricular aneurysm. The patient also has a history of AFib and HFmrEF ( = H eart F ailure with M inimally- R educed E jection F raction ).