A 53 years old male known case of diabetes mellitus, hypertension since past 10 years presented to the JIPMER, Pondicherry, India with history of acute onset chest pain since last one hour duration. Chest pain was associated with perspiration, giddiness, vomiting and palpitation. Patient ECG in the emergency department was suggestive of ST elevation anterior wall myocardial infarction. Patient was thrombolysed with streptokinase, during thrombolysis patietn develop broad complex tachycardia so what is your diagnosis?
ECG 1
ECG 2
Description of the ECG Broad complex regular tachycardia, QRS duration around 200 msec, No P wave, no capture beat, no fusion beat,positive QRS concordance in lead V1-V6
Diagnosis Ventricular tachycardia
WHY?
Precordial lead V1-V6 Positive QRS concordance which is going in favour of ventricular tachycardia, along with QRS duration which is very plonged, in this case around 200 msec, also underlying medical condition, in this case acute anterior wall myocardial infarction
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