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Medicine ECG and Arrhythmias 1 7dde3316

Which of the following results in broad complex tachycardia?

A
Antidromic conduction in Accessory pathway mediated tachycardia
B
Ohodromic conduction in accessory pathway mediated tachycardia
C
AV nodal re-entrant tachycardia
D
Atrial fibrillation
High-Yield Explanation
Antidromic conduction in AP mediated tachycardia results in broad complex tachycardia as the impulses travel in the ventricles inter-myocyte conduction. Speed of conduction of inter-myocyte conduction is less than that of purkinje network leading to broad complex tachycardia. Choices B, C and D result in narrow complex tachycardia. Impoant causes of broad complex tachycardia- Antidromic conduction in WPW Monomorphic VT Torsades de pointes/ Polymorphic Ventricular tachycardia

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