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cases%22%2F%3E%3Cpath%20d%3D%22M%2040%200%20L%200%200%200%2040%22%20fill%3D%22none%22%20stroke%3D%22%23d99b95%22%20stroke-width%3D%221%22%2F%3E%3C%2Fpattern%3E%0A%20%20%3C%2Fdefs%3E%3Crect%20width%3D%221200%22%20height%3D%22780%22%20fill%3D%22url(%23major)%22%2F%3E%3Ctext%20x%3D%2248%22%20y%3D%2258%22%20font-family%3D%22Arial%2C%20sans-serif%22%20font-size%3D%2214%22%20font-weight%3D%22bold%22%20fill%3D%22%230a0a0a%22%3EI%3C%2Ftext%3E%3Cpath%20d%3D%22M%2050%20115%20L%2060%20115%20L%2060%2075%20L%2070%2075%20L%2070%20115%22%20fill%3D%22none%22%20stroke%3D%22%230a0a0a%22%20stroke-width%3D%221.4%22%2F%3E%3Cpath%20d%3D%22M%2070%20115%20L%2085.2%20115%20L%20112.4%20115.0%20L%20127.0%2099.0%20L%20139.9%20143.0%20L%20149.0%20115.0%20L%20161.4%20115.0%20Q%20163.2%20124.6%20168.5%20127.0%20Q%20175.5%20121.0%20182.5%20115.0%20L%20189.8%20115%20L%20217.0%20115.0%20L%20231.6%2099.0%20L%20244.4%20143.0%20L%20253.5%20115.0%20L%20266.0%20115.0%20Q%20267.8%20124.6%20273.1%20127.0%20Q%20280.0%20121.0%20287.0%20115.0%20L%20312%20115%22%20fill%3D%22none%22%20stroke%3D%22%230a0a0a%22%20stroke-width%3D%221.6%22%20stroke-linecap%3D%22round%22%20stroke-linejoin%3D%22round%22%2F%3E%3Ctext%20x%3D%22340%22%20y%3D%2258%22%20font-family%3D%22Arial%2C%20sans-serif%22%20font-size%3D%2214%22%20font-weight%3D%22bold%22%20fill%3D%22%230a0a0a%22%3EaVR%3C%2Ftext%3E%3Cpath%20d%3D%22M%20342%20115%20L%20352%20115%20L%20352%2075%20L%20362%2075%20L%20362%20115%22%20fill%3D%22none%22%20stroke%3D%22%230a0a0a%22%20stroke-width%3D%221.4%22%2F%3E%3Cpath%20d%3D%22M%20362%20115%20L%20377.2%20115%20L%20404.4%20115.0%20L%20419.0%2079.0%20L%20431.9%20121.0%20L%20441.0%20115.0%20L%20453.4%20115.0%20Q%20455.2%20108.6%20460.5%20107.0%20Q%20467.5%20111.0%20474.5%20115.0%20L%20481.8%20115%20L%20509.0%20115.0%20L%20523.6%2079.0%20L%20536.4%20121.0%20L%20545.5%20115.0%20L%20558.0%20115.0%20Q%20559.8%20108.6%20565.1%20107.0%20Q%20572.0%20111.0%20579.0%20115.0%20L%20604%20115%22%20fill%3D%22none%22%20stroke%3D%22%230a0a0a%22%20stroke-width%3D%221.6%22%20stroke-linecap%3D%22round%22%20stroke-linejoin%3D%22round%22%2F%3E%3Ctext%20x%3D%22632%22%20y%3D%2258%22%20font-family%3D%22Arial%2C%20sans-serif%22%20font-size%3D%2214%22%20font-weight%3D%22bold%22%20fill%3D%22%230a0a0a%22%3EV1%3C%2Ftext%3E%3Cpath%20d%3D%22M%20634%20115%20L%20644%20115%20L%20644%2075%20L%20654%2075%20L%20654%20115%22%20fill%3D%22none%22%20stroke%3D%22%230a0a0a%22%20stroke-width%3D%221.4%22%2F%3E%3Cpath%20d%3D%22M%20654%20115%20L%20669.2%20115%20L%20696.4%20115.0%20L%20713.1%2067.0%20L%20727.8%20121.0%20L%20738.2%20115.0%20L%20748.8%20115.0%20Q%20750.4%20126.2%20754.9%20129.0%20Q%20760.7%20122.0%20766.5%20115.0%20L%20773.8%20115%20L%20801.0%20115.0%20L%20817.7%2067.0%20L%20832.3%20121.0%20L%20842.8%20115.0%20L%20853.4%20115.0%20Q%20854.9%20126.2%20859.4%20129.0%20Q%20865.2%20122.0%20871.0%20115.0%20L%20896%20115%22%20fill%3D%22none%22%20stroke%3D%22%230a0a0a%22%20stroke-width%3D%221.6%22%20stroke-linecap%3D%22round%22%20stroke-linejoin%3D%22round%22%2F%3E%3Ctext%20x%3D%22924%22%20y%3D%2258%22%20font-family%3D%22Arial%2C%20sans-serif%22%20font-size%3D%2214%22%20font-weight%3D%22bold%22%20fill%3D%22%230a0a0a%22%3EV4%3C%2Ftext%3E%3Cpath%20d%3D%22M%20926%20115%20L%20936%20115%20L%20936%2075%20L%20946%2075%20L%20946%20115%22%20fill%3D%22none%22%20stroke%3D%22%230a0a0a%22%20stroke-width%3D%221.4%22%2F%3E%3Cpath%20d%3D%22M%20946%20115%20L%20961.2%20115%20L%20988.4%20115.0%20L%201005.1%2079.0%20L%201019.8%20123.0%20L%201030.2%20115.0%20L%201040.8%20115.0%20Q%201042.4%20124.6%201046.9%20127.0%20Q%201052.7%20121.0%201058.5%20115.0%20L%201065.8%20115%20L%201093.0%20115.0%20L%201109.7%2079.0%20L%201124.3%20123.0%20L%201134.8%20115.0%20L%201145.4%20115.0%20Q%201146.9%20124.6%201151.4%20127.0%20Q%201157.2%20121.0%201163.0%20115.0%20L%201188%20115%22%20fill%3D%22none%22%20stroke%3D%22%230a0a0a%22%20stroke-width%3D%221.6%22%20stroke-linecap%3D%22round%22%20stroke-linejoin%3D%22round%22%2F%3E%3Ctext%20x%3D%2248%22%20y%3D%22220%22%20font-family%3D%22Arial%2C%20sans-serif%22%20font-size%3D%2214%22%20font-weight%3D%22bold%22%20fill%3D%22%230a0a0a%22%3EII%3C%2Ftext%3E%3Cpath%20d%3D%22M%2050%20277%20L%2060%20277%20L%2060%20237%20L%2070%20237%20L%2070%20277%22%20fill%3D%22none%22%20stroke%3D%22%230a0a0a%22%20stroke-width%3D%221.4%22%2F%3E%3Cpath%20d%3D%22M%2070%20277%20L%2085.2%20277%20L%20112.4%20277.0%20L%20127.0%20265.0%20L%20139.9%20313.0%20L%20149.0%20277.0%20L%20161.4%20277.0%20Q%20163.2%20286.6%20168.5%20289.0%20Q%20175.5%20283.0%20182.5%20277.0%20L%20189.8%20277%20L%20217.0%20277.0%20L%20231.6%20265.0%20L%20244.4%20313.0%20L%20253.5%20277.0%20L%20266.0%20277.0%20Q%20267.8%20286.6%20273.1%20289.0%20Q%20280.0%20283.0%20287.0%20277.0%20L%20312%20277%22%20fill%3D%22none%22%20stroke%3D%22%230a0a0a%22%20stroke-width%3D%221.6%22%20stroke-linecap%3D%22round%22%20stroke-linejoin%3D%22round%22%2F%3E%3Ctext%20x%3D%22340%22%20y%3D%22220%22%20font-family%3D%22Arial%2C%20sans-serif%22%20font-size%3D%2214%22%20font-weight%3D%22b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intermediateVentricular TachycardiaWide-Complex Tachycardia
Monomorphic Ventricular Tachycardia
Clinical vignette
68 y/o male with prior anterior MI, ICD in place. Palpitations, no syncope. BP 96/60, HR 168.
Study the tracing first. Formulate your interpretation, then reveal the findings below to check yourself.