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Narrow QRS tachycardia with extreme rightward axis. What is the mechanism?
Krishna Kumar Mohanan Nair1, Narayanan Namboodiri1, Hiren Kevadiya1
1Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala 695011, India.
Abstract:
A 25 year old lady presented with palpitation to the emergency department. Her pulse rate was 210 beats per minute. She was hemodynamically stable with a blood pressure of 100/60 mm Hg. 12 lead surface electrocardiogram (ECG) was recorded during the presentation (Fig. 1) and rhythm strip (Fig. 2A) during administration of IV adenosine. What is the likely diagnosis?
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