- RBBB pattern (rsR’ in v1 or qrS in v6).
- Initial part of the complex is similar to a sinus rhythm complex.
- Similar complexes seen earlier when patient was in sinus rhythm and then was clearly diagnosed as aberrant conduction.
- Complex ending a short RR interval after a long RR interval (preceding long RR- short RR sequence; second in a row phenomenon; Ashman phenomenon).
- The suspected complexes are all having preceding P waves.
- RBBB and LBBB patterns seen- more likely to be alternating BBB due to varying aberrancy rather than ventricular tachycardias from both ventricles.
ECG- Supraventricular tachycardia with aberrancy- features to distinguish from ventricular tachycardia
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