66-year old female with LBBB since many years and new acute septal myocardial infarction with recurrent VT episodes

Case presentation

• LBBB since many years
• Now acute septal myocardial infarction with recurrent VT episodes
• Amiodarone infusion started
• In the CCU intermittent rhythm without P waves and narrow QRS alternating with sinus rhythm with LBBB
• No significant changes in heart rate during the two rhythms

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