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Wide-complex tachycardia: VT, aberrant, or "other?"

Dr. Smith's ECG Blog

She had a normal EF, and no significant CAD, and was taking flecainide to suppress the AF. It is easy to accidentally overdose. Extreme axis deviation in the frontal plane is not present — because a small-but-definitely-present initial r wave is seen in all 3 inferior leads ( See within the BLUE circle in lead aVF ).

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OMI? Subendocardial ischemia? Does it matter in this clinical context?

Dr. Smith's ECG Blog

The procedure was described as very complex due to severe multivessel CAD, but ultimately PCI was successfully performed to the ostial LCX. Final Diagnosis: "STEMI" (of course, as you can see in the ECGs above, this is not true, by definition this was NSTEMI. Pre-intervention. In other words, millimeters really don't matter!

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