VT Positive concordance in the precordial lead and no RBBB-like pattern in V1 but the slow activation. NW axis as well. Sinus rhythm with the typical (Strauss) LBBB.

Leave it or consult EP ❓Only at nighttime. Tiny weeny prolongation of PR interval before 2:1 AV block? Longer strips show 3:2 Wenckebach AV block (no PP prolongation to enable 1:1 conduction in M2). Bifascicular block RBBB+LAFB in 12-lead ECG. One and a half months after OMI.

Sinus tachycardia ends and then SV bigeminy (violet dots are SVEs). An interesting pattern of interactions between SV ectopies and sinus node.

US fascicular VT is rare. Three distinct subtypes of FVT have been classified based on their electrocardiographic characteristics: ● Left posterior FVT (90–95% of cases) ● Left anterior FVT (5–10% of cases) ● Upper septal FVT (less than 1% of cases) doi.org/10.1007/s10840…

Honoring Excellence in Electrophysiology✨❤️ Celebrating the KCHRS EP Pioneer Award winners from 2010–2025 — a legacy of innovation, leadership, and dedication to advancing heart rhythm care. #KCHRS2025 #EPPioneerAward #CardiologyLeadership #HeartRhythm Heart Rhythm Society

I hope a member of ECG enthusiasts will come back safe and sound. Pedram

grey men in grey suits reciting slogans about “values” ... just like those with their red stars reciting slogans before the fall of socialism * I dislike today's "statesmen" just like I disliked those before 1989.

Sad truth in your words, Dr G Rajesh (Gopalan Nair Rajesh). . I could say nothing else. I'm also almost never "politically correct".