1. Incessant fascicular VT presenting as cardiogenic shock with multi-organ dysfunction syndrome 
Ankur C. Thummar, MD, DM Cardiology, Ganesh Patil, MD, Ashar Khan, MD, DM Cardiology, Yash Y. Lokhandwala, MD, DM Cardiology, Ajay U. Mahajan, MD, DM Cardiology, Pratap J. Nathani, MD, DM Cardiology 
Journal of Cardiology Cases 
Volume 13, Issue 4, Pages (April 2016)
DOI: /j.jccase
Copyright © 2015 Japanese College of Cardiology Terms and Conditions

2. Fig. 1
Surface electrocardiogram of ventricular tachycardia showing right bundle branch block-like pattern with left-axis deviation. There were VA conduction with 1:1 VA relationship.
Journal of Cardiology Cases  , DOI: ( /j.jccase )
Copyright © 2015 Japanese College of Cardiology Terms and Conditions

3. Fig. 2
2D echocardiogram short-axis views at mid-cavity level showed a dilated left ventricle with poor contractility. (A) End-systolic frame. (B) End-diastolic frame.
Journal of Cardiology Cases  , DOI: ( /j.jccase )
Copyright © 2015 Japanese College of Cardiology Terms and Conditions

4. Fig. 3
Electrophysiology study. The first 2 complexes show VA conduction. After that, faster atrial pacing from the coronary sinus shows AV dissociation for 4 complexes. The last 3 atrial paced complexes conduct via the AV node, with normal QRS complexes.
Journal of Cardiology Cases  , DOI: ( /j.jccase )
Copyright © 2015 Japanese College of Cardiology Terms and Conditions

5. Fig. 4
Ventricular tachycardia (VT) terminates with a capture beat, and then initiates spontaneously. The capture beat suggests AV nodal duality, as the retrograde A turns around via the “fast” pathway and reaches the ventricle early. It also suggests the VT focus to be close to the conduction system. The normal complex after termination shows the ‘memory sign’ T inversion in the inferior leads.
Journal of Cardiology Cases  , DOI: ( /j.jccase )
Copyright © 2015 Japanese College of Cardiology Terms and Conditions