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A 46-year-old man with no significant medical history was seen for palpitations. A Holter monitor was placed and following recording was obtained (figure 1).
What is the most likely diagnosis?
Atrioventricular (AV) nodal reentrant tachycardia with aberrancy
Antidromic and orthodromic tachycardia
Orthodromic reentrant tachycardia with aberrancy
Orthodromic reentrant tachycardia with aberrancy using a left side accessory pathway.
Holter monitor shows a wide complex tachycardia at a rate …
Contributors VK: Manuscript preparation and initial diagnosis; ME: manuscript preparation; and WF: image contribution.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.