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Elderly man with ICD shocks

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1 Elderly man with ICD shocks
Mark E. Josephson, MD, Hein J. Wellens, MD  Heart Rhythm  Volume 13, Issue 1, Pages (January 2016) DOI: /j.hrthm Copyright © 2016 Heart Rhythm Society Terms and Conditions

2 Figure 1 Ventricular tachycardia (VT). VT with a left bundle branch block–like pattern is shown. Atrioventricular dissociation is present. There are q waves in leads V1–V4, but monophasic R waves in leads I, aVL, and V6, suggesting a right ventricular origin. Heart Rhythm  , DOI: ( /j.hrthm ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

3 Figure 2 Sinus rhythm electrocardiogram. During sinus rhythm, low voltage in the limb leads, T-wave inversion across the precordium, and epsilon waves in leads V1 and III (arrows) are shown. Heart Rhythm  , DOI: ( /j.hrthm ) Copyright © 2016 Heart Rhythm Society Terms and Conditions


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