KMID : 1011920130140030034
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International Journal of Arrhythmia 2013 Volume.14 No. 3 p.34 ~ p.39
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A Case of Left Bundle Branch Block-shaped Wide QRS Complex Tachycardia With Diagnostic Ambiguity on a Surface Electrocardiogram
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Ahn Min-Soo
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Abstract
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A 78-year-old woman presented with palpitations and wide QRS complex tachycardia with left bundle branch block morphology on an electrocardiogram (ECG). The Brugada algorithm suggested that the tachycardia was supraventricular in origin. However, electrophysiological study showed that the tachycardia was ventricular in origin with 1:1 ventriculoatrial conduction. Here, we report a case of broad complex tachycardia with diagnostic ambiguity on a surface ECG.
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KEYWORD
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arrhythmia , catheter ablation, premature ventricular contraction a
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