Positive Concordant Precordial Pattern in VT

Report:

Ventricular tachycardia 175/min

Comment:

The diagnosis depends on:

- concordant (positive) precordial pattern

- monophasic R wave in V1

- AV dissociation

- known pre-existing LBBB62

Below (Fig 67a) is his 12-lead ECG 3 hours earlier, in multifocal atrial tachycardia (MAT) with VEBs. The MAT explains the seemingly random atrial activity dissociated from the VT.

If you have any suggestions for or feedback on this report, please let us know.