Paediatric ECG of the Week

ECG Answer for ~ December 9th 2017

Wide complex tachycardia Heart Rate 210/min. QRS axis:-87
PR: -ms QRS: 170ms QT/QTc: -/-
VA dissociation
Superior left axis deviation
Right Bundle Branch Block Morphology
Ventricular Tachycardia

9dec17

Comment: Ventricular tachycardia: wide complex tachycardia, QRS > 115ms. QRS morphology different to sinus, VA dissociation, fusion beats.
This boy had failed conversion with adenosine several times. Left axis deviation + CRBBB characterises fascicular reentry VT. He has verapmil sensitive VT with a structurally normal heart

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