A tale of two tachycardias.

Singapore Med J

Department of Cardiology, National Heart Centre, 17 Third Hospital Ave, Singapore 168752.

Published: January 2015

AI Article Synopsis

  • A patient with non-ischaemic cardiomyopathy experienced broad complex tachycardia alongside pre-existing atypical atrial flutter and left bundle branch block.
  • The case highlights the challenges in diagnosing ventricular tachycardia, especially in the presence of double tachycardia.
  • The discussion includes contemporary diagnostic algorithms that can help distinguish between ventricular tachycardia and supraventricular tachycardia with aberrant conduction.

Article Abstract

A patient with non-ischaemic cardiomyopathy, and pre-existing atypical atrial flutter and left bundle branch block, developed broad complex tachycardia. In this unique and uncommon case of double tachycardia, we discuss the diagnostic approach of ventricular tachycardia in patients with broad complex tachycardia, and the use of different contemporary algorithms to help diagnose ventricular tachycardia and differentiate it from supraventricular tachycardia with aberrant conduction.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4325567PMC
http://dx.doi.org/10.11622/smedj.2015014DOI Listing

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