VT, then SVT

Report:

Sinus rhythm 90/min

PR 0.20”

Triplet of polymorphous ventricular tachycardia 120/min

5-beat run of atrial tachycardia 118/min

Left anterior hemiblock

Old anterior infarction

Comment:

Following the VT, an atrial escape beat is followed by the (sometimes overlooked) atrial tachycardia.

Note also, in the rhythm strip, the post-ectopic T wave change (poor man’s exercise test), more marked after the longer pause left by the VT than after the shorter one following SVT. In fact, the post-ectopic change is a function of the pause itself, rather than of a preceding ectopic beat.

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