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60-something with wide complex tachycardia: from where does the rhythm originate?

Dr. Smith's ECG Blog

Inferior MI results in scar tissue which is a likely source of a re-entrant ventricular dysrhythmia. Echocardiogram: Estimated left ventricular ejection fraction, lower limits of normal; 45-50%. Here is the post-cardioversion ECG: There is sinus with RBBB There are inferior Q-waves suggesting old inferior MI.