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That said — PMVT almost always occurs in older patients with significant underlying heartdisease — and, the patient will usually not be hemodynamically stable in such cases! CLICK HERE — to download a PDF of the content in these 4 figures. ECG Blog #157 — Can you diagnose ischemia and/or infarction when there is WPW?
She had a history of chronic respiratory disease and hypoxia, but hypoxia was no worse than normal. Although as a general rule, there should be no ST elevation in RBBB in the absence of ischemia, there sometimes is ST elevation that looks like this. The challenge is magnified when trying to assess BBB tracings for acute ischemia.
Barring some form of severe underlying heartdisease in which a baseline tracing in sinus rhythm shows identical QRS morphology the frontal plane axis deviation seen in ECG #1 is almost always indicative of VT. CLICK HERE to download a PDF of this 6-page file on Aberrant Conduction.
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