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The Differential Diagnosis is: SVT with aberrancy(#) [AVNRT vs. WPW (also called AVRT*)] Atrialflutter with 1:1 conduction, with aberrancy VT coming from the anterior fascicle ( fascicular VT )@ *AVRT = AV Reciprocating Tachycardia (Tachycardic loop that uses both the AV node and an accessory pathway. "Due The echo was normal.
Previously healthy, taking no medication and exercising regularly. No anginal symptoms asymptomatic during physical exercise. It is reasonable to perform an echocardiogram to evaluate LV function. Below in Figure-1 is this patient's admission ECG. How will you manage this patient? or is wider than 130 msec.,
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