We present a patient with ischemic cardiomyopathy who had ventricular tachycardia (VT) with QRS morphology alternans. The electrophysiological findings, in this case, supported the occurrence of antegrade activation of the proximal His-Purkinje system during VT, with the ultimate electrocardiogram morphology dependent on fusion from intramyocardial and His-Purkinje activations.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8887927PMC
http://dx.doi.org/10.19102/icrm.2022.130203DOI Listing

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