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Wide-complex tachycardia that didn’t follow the rules

Dr. Smith's ECG Blog

They had a history of non-ischemic cardiomyopathy (EF 30%), as well as PCI with one stent. The WCT is interrupted by a series of variable-morphology QRS complexes, with atrial flutter waves note in II, III, and aVF. The subsequent EP study could not induce VT, only atrial fibrillation.