October 22, 2019

Very Wide QRS Tachycardia: VT or not?

70 yo h/o DM COPD s/p PPM c/o AMS

Image 1

The 12L shows regular very wide QRS tachycardia (~120 bpm). Pacer spikes can be seen in lead I. This is a V-paced rhythm in a patient with hyperkalemia (6.8).


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