Fascicular VT in Anterior Infarction
Report:
Ventricular (fascicular) tachycardia 103/min
RBBB/LAHB morphology
Acute anterior infarction
Comment:
It is possible that the tachycardia is junctional, with aberrancy, except that lead 1 does not look right for RBBB, with or without LAHB; also, it is not particularly fast to provoke aberrant conduction.
Within minutes, it reverted to sinus rhythm and ventricular bigeminy (Fig 50a), with the same beats, now broader, as in the preceding VT. It can now be confirmed that the infarction is extensive, involving five chest leads, 1 and aVL. The inferior leads show marked reciprocal ST segment depression. The picture is typical of proximal LAD occlusion.
The RAD remained, with its rather unpleasant prognostic significance42 (Fig 50b).
50a. Sinus rhythm with bigeminal VEBs.
50b. One week later, frontal QRS axis +110o. 51. 32 year old man resuscitated from drowning.
If you have any suggestions for or feedback on this report, please let us know.
Hi, can we chat about some terms and conditions?
The library and its records are licensed under the Creative Commons Attribution 4.0 International license.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
By clicking agree below, you are agreeing to adhere to CC BY 4.0.