Related Experiment Video
Updated: Mar 13, 2026

Real-Time Cardiac Mapping with a Noninvasive Imageless Electrocardiographic Imaging System
Published on: April 11, 2025
Exercise induced irregular wide QRS tachycardia with right bundle branch block morphology and extreme QRS axis
Eliyahu Kalfon1, Tsafrir Or1, Bernard Belhassen2
1Department of Cardiology, Galilee Medical Center, Naharia, Israel.
Abstract:
A 29-year-old active woman was referred for evaluation following the development of an irregular wide complex tachycardia with right bundle branch morphology and extreme QRS axis during exercise stress testing. Two main alternative diagnoses are discussed: a) atrial fibrillation with either aberrancy or pre-excitation; b) left ventricular tachycardia originating from the Purkinje system including left posterior fascicle versus posteromedial papillary muscle.
More Related Videos
12:45Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
06:57Ablation of Ischemic Ventricular Tachycardia Using a Multipolar Catheter and 3-dimensional Mapping System for High-density Electro-anatomical Reconstruction
Published on: January 31, 2019
Related Concept Videos
Dysrhythmias IV: Characteristics of Bradyarrhythmias
Disturbances in Heart Rhythm
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Dysrhythmias III: Characteristics of Dysrhythmias
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
Electrocardiogram
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...