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Coumel's sign reversed: What is the mechanism?
Dinakar Bootla1, Ashish Jain1, Gaurav Kumar Mittal1
1Department of Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
None:
A patient presented with documented narrow QRS tachycardia. During electrophysiological study, he has orthodromic reciprocating tachycardia with atrial activation consistent with left free wall accessory pathway. With induction of tachycardia, beats with LBBB morphology have shorter cycle length than those with narrow QRS. What is the mechanism?
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