Wide-Complex Wide-Complex TachycardiasTachycardias

Ventricular tachycardiaVentricular tachycardia Supraventricular tachycardia and Supraventricular tachycardia and

ICD-ICD- RBBB, LBBB, RBBB, LBBB, RRIVCDRRIVCD

Wolf-Parkinson White tachysWolf-Parkinson White tachys Pacemaker tachycardiasPacemaker tachycardias HyperkalemiaHyperkalemia Torsades des PointesTorsades des Pointes

65 yo W. Chest pain65 yo W. Chest pain

WCT with captured beats

66M. Severe AS, MV-CAD, CHF66M. Severe AS, MV-CAD, CHF

R and J 523WCT with fusion beats

65 M. Non-ischemic DCM, low EF. 65 M. Non-ischemic DCM, low EF.

R and J 50Note preserved P-P interval.

64M. CAD, prior AWMI, s/p cardiac 64M. CAD, prior AWMI, s/p cardiac arrestarrest

R and J 580

72 W. Palpitations. HOCM, on 72 W. Palpitations. HOCM, on sotalol and warfarin.sotalol and warfarin.

R and JIrreg.

O’Keefe, Hammill, Freed

“Cherchez le P-wave”

88W. CHF. On Amiodarone. 88W. CHF. On Amiodarone.

R and J 502

74W. RHD, CAD, prior PCI and 74W. RHD, CAD, prior PCI and AVR.AVR.

R and J 160Irreg?

67W. ESRD on HD, ischemic bowel, 67W. ESRD on HD, ischemic bowel, septic shock, hyperkalemia. septic shock, hyperkalemia.

R and J 529

63M. HTN, ETOH abuse, PAFib.63M. HTN, ETOH abuse, PAFib.

R and J 549RRIVCD

48M Severe L and R CHF, MR, on 48M Severe L and R CHF, MR, on dobutamine and milrinone.dobutamine and milrinone.

R and J 559200 = 200 RRIVCD

51W. Metastatic Ca. breast, bone 51W. Metastatic Ca. breast, bone marrow Tx., K=2.9marrow Tx., K=2.9

R and J 622